Method to estimate the age of tissues and cell types based on epigenetic markers

ABSTRACT

A method for determining the age of a biological sample comprising measuring a methylation level of a set of methylation markers in genomic DNA of the biological sample. An age of the biological sample is determined with a statistical prediction algorithm, comprising (a) obtaining a linear combination of the methylation marker levels, and (b) applying a transformation to the linear combination to determine the age of the biological sample.

CROSS REFERENCE TO RELATED APPLICATIONS

This application claims the benefit under 35 U.S.C. Section 119(e) of co-pending U.S. Provisional Patent Application Ser. No. 61/883,875, entitled “METHOD TO ESTIMATE THE AGE OF TISSUES AND CELL TYPES BASED ON EPIGENETIC MARKERS” filed Sep. 27, 2013, the contents of which are incorporated herein by reference.

SEQUENCE LISTING

This application contains a Sequence Listing which has been filed electronically in ASCII format and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Sep. 26, 2014, is named G&C30435.276-WO-U1 SL.txt and is 119,130 bytes in size.

BACKGROUND OF THE INVENTION

(Note: This application references a number of different publications as indicated throughout the specification by reference numbers enclosed in brackets, e.g., [x]. A list of these different publications ordered according to these reference numbers can be found below in the section entitled “REFERENCES”.)

From the moment of conception, we begin to age. A decay of cellular structures, gene regulation, and DNA sequence ages cells and organisms. An increasing body of evidence suggests that many manifestations of aging are epigenetic [1, 2]. DNA methylation patterns have been found to change with increasing age and contribute to age-related diseases. Methylation in promoter regions is generally accompanied by gene silencing and loss of methylation or loss of the proteins that bind to certain methylated cytosine DNA nucleotides. This can lead to diseases in humans, for example, Immunodeficiency Craniofacial Syndrome and Rett Syndrome (see, e.g. Bestor (2000) Hum. Mol. Genet. 9:2395-2402). DNA methylation may be gene-specific or occur genome-wide.

One particular type of epigenetic control is the cytosine-5 methylation within Cytosine-phosphate-Guanine (CpG) dinucleotides (also known as DNA methylation or “DNAm”). Age-related DNA hypomethylation has long been observed in a variety of species including salmon [3], rats [4], and mice [5]. More recent studies have shown that many CpGs are subject to age-related hypermethylation or hypomethylation [6-14]. Previous studies have shown that age-related hypermethylation occurs preferentially at CpG islands [8], at bivalent chromatin domain promoters that are associated with key developmental genes [15], and at Polycomb-group protein targets [10]. The epigenomic landscape varies markedly across tissue types [16-18] and many age-related changes depend on tissue type [8, 19]. Some studies have suggested that age-dependent CpG signatures may be defined independently of sex, tissue type, disease state, and array platform [10, 13-15, 20-22].

While there are articles that describe age predictors based on DNA methylation (DNAm) levels in specific tissues (e.g. saliva or blood [23, 24]), it is not yet known whether age can be predicted irrespective of tissue type using a single predictor. Articles that describe age-related changes in various tissues (e.g. blood, saliva, and brain [13, 21, 23, 24, 90, 91]) typically only focus on the biological impact of aging. For example, various DNA CpG methylation markers have been included in a list of aging-related genes by Teschendorff et al. [10], who showed that these markers correlated with age. However, Teschendorff et al. [10] did not investigate brain tissue and saliva and further did not build (multivariate) predictors of age. There have also been publications describing age predictors based on DNA methylation levels (see, e.g. Bockland et al. [23], Koch et al. [21], Hannum et al. [24]). Notably, however, Hannum et al. [24] found that computing a DNA methylation-based age predictor for different tissues gave basically no overlap, e.g. blood-derived predictive CpGs were different from those from other tissues.

Thus, there is a need for an age predictor based on DNA methylation levels that can accurately predict age across a broad spectrum of human tissues/cell types.

SUMMARY OF THE INVENTION

In one aspect of the present invention, a method is provided for estimating the chronological and/or biological age of an individual's tissue or cell sample by measuring the methylation of specific DNA Cytosine-phosphate-Guanine (CpG) methylation markers attached to the individual's DNA. Optionally, the measured methylation levels are transformed. In one or more embodiments, the method comprises forming a linear combination of a predetermined set of CpG methylation markers (or optionally, forming a linear combination of the transformed methylation levels), which is then transformed to an age estimate using a calibration function. The linear combination of the CpGs, referred to as “clock CpGs” (or of the transformed methylation levels), can be interpreted as an epigenetic clock. The resulting predicted age is referred to as the “DNA methylation (DNAm) age”. In one embodiment, the age is estimated based on a set of 354 CpG methylation markers (see Table 3 below). In other embodiments, the age is estimated based on a set of 110, 38, 17 or 6 CpG methylation markers (see Tables 4, 5, 6, and 7, respectively). The sets of 110, 38, 17, and 6 CpGs are subsets of methylation markers taken from the set of 354 CpG methylation markers shown in Table 3.

In another aspect of the present invention, a multi-tissue age predictor is provided that uses a set of CpG methylation markers for estimating age. An advantage of the multi-tissue age predictor lies in its wide applicability: for most tissues it does not require any adjustments or offsets. The invention allows for the comparison of the ages of different parts of the human body. Furthermore, the multi-tissue age predictor and CpG methylation markers allow for easily accessible tissues (e.g. blood, saliva, buccal cells, epidermis) to be used to measure age in inaccessible tissues (e.g. brain, kidney, liver). For example, the methods disclosed herein can be used to estimate the age of inaccessible human brain tissue by measuring the age of more accessible tissues such as blood, saliva, skin or adipose tissue. In further aspects, the sample comprises tissue culture cells or pluripotent stem cells (e.g. induced pluripotent stem (iPS) cells). Thus, in some aspects, a method of the embodiments can be used to determine the passage number or amount of time in culture for a population of tissue culture cells. In additional aspects, a method of the embodiments can be used to assess the differentiation status (or the pluripotency) of a population of cells comprising pluripotent stem cells (e.g. iPS cells).

In one or more embodiments, a method is provided comprising a first step of extracting genomic DNA from a sample. In a second step, the DNAm levels at multiple loci in the genome are measured. In specific instances, this results in thousands of quantitative measurements per sample. Each measurement measures the extent of methylation at a particular genomic location (CpG). The more CpGs measured allows for normalization of the data, though in certain embodiments, the DNAm levels of only 354, 110, 38, 17 or 6 CpG methylation markers are measured (see, Table 3-7 respectively). A third step comprises calculating the (weighted) average of the (optionally, transformed) DNAm levels across the measured CpGs. In certain instances, the result is a real number that lies between −4 and 4. The DNAm level of each CpG is multiplied by a coefficient value (of a regression model) and the individual products are summed up. In a fourth step, the weighted average is transformed to a new scale, such as a number that measures DNAm age in years. In this instance, age zero corresponds to age at birth and a prenatal sample results in a negative age. A monotonic, non-linear transformation is used.

The method may further comprise an additional step after the second step, wherein the measurements are normalized/transformed such that the two peaks of their frequency distribution are located at the same two locations as that of a gold standard measurement. The result is the same as that of the second step but the values are slightly changed. The peaks of the frequency distribution correspond to values for completely methylated or un-methylated CpGs, respectively. This normalization step is possible because most CpGs are either perfectly methylated or un-methylated. In one exemplary implementation, the gold standard is based on the average DNAm value across 715 blood samples.

The present invention can be used to study the effects of medication, food compounds and/or special diets on the biological age of humans or chimpanzees (which may serve as model organisms since DNAm age is also applicable to chimpanzee tissues). Since DNA methylation patterns change with increasing age and contribute to age-related diseases, the CpGs can be used as biomarkers of chronological age (e.g. for forensic applications). The invention can also be used for determining and/or increasing an individual's likelihood of longevity, in particular, by determining and decreasing an individual's likelihood of developing an age-related disease (e.g. cancer). This is accomplished, for example, by diagnosing and determining the existence or likelihood of disease (e.g. cancer) or providing an assay for identifying a compound which counters the age-related increase or decrease of methylation in the CpG markers disclosed herein.

In a further embodiment there is provided a method for determining age of a biological sample comprising selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 6 of the genes listed in Table 3 (SEQ ID NO: 1-354) and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 205, 210, 215, 220, 225, 230, 235, 240, 245, 250, 255, 260, 265, 270, 275, 280, 285, 290, 295, 300, 305, 310, 315, 320, 325, 330, 335, 340, 345, 350, or 354 of the genes listed in Table 3. In further aspects, the set of methylation markers may comprise markers in at least or at most 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 205, 210, 215, 220, 225, 230, 235, 240, 245, 250, 255, 260, 265, 270, 275, 280, 285, 290, 295, 300, 305, 310, 315, 320, 325, 330, 335, 340, 345, 350, or 354 of the CpG positions listed in Table 3.

In a further aspect, a method of the embodiments comprises selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 6 of the genes listed in Table 4 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105 or 110 of the genes listed in Table 4. In further aspects, the set of methylation markers may comprise markers in at least or at most 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105 or 110 of the CpG positions listed in Table 4.

In yet a further aspect, a method of the embodiments comprises selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 3 of the genes listed in Table 5 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 or 38 of the genes listed in Table 5. In further aspects, the set of methylation markers may comprise markers in at least or at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 or 38 of the CpG positions listed in Table 5.

In yet still a further aspect, a method of the embodiments comprises selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 3 of the genes listed in Table 6 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or 17 of the genes listed in Table 6. In further aspects, the set of methylation markers may comprise markers in at least or at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or 17 of the CpG positions listed in Table 6.

In still a further aspect, a method of the embodiments comprises selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 2 of the genes listed in Table 7 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 2, 3, 4, 5 or 6 of the genes listed in Table 7. In further aspects, the set of methylation markers may comprise markers in at least or at most 2, 3, 4, 5 or 6 of the CpG positions listed in Table 7.

In some aspects, the biological sample is a solid tissue, blood, urine, fecal or saliva sample that comprises genomic DNA. In particular aspects, the biological sample is a blood sample.

In further aspects, selectively measuring the methylation levels of a set of methylation markers in genomic DNA, further comprises transforming the measured methylation marker levels. In certain aspects of the embodiments determining the age of the biological sample comprises applying a statistical prediction algorithm to the measured methylation marker levels (or the transformed methylation marker levels). In certain aspects, applying a statistical prediction algorithm comprises (a) obtaining a linear combination of the methylation marker levels (or the transformed methylation marker levels), and (b) applying a transformation to the linear combination to determine the age of the biological sample. For example, obtaining a linear combination of the methylation marker levels can comprise obtaining weighted average of the methylation marker levels (or a weighted average of the transformed methylation marker levels). In further aspects, applying a transformation to the linear combination comprises applying a logarithmic and/or linear transformation to the linear combination.

In a further aspect determining the age of the biological sample comprises applying a linear regression model to predict sample age based on a weighted average of the methylation marker levels plus an offset.

In still further aspects, the set of methylation markers for use accordingly to the embodiments may comprise methylation markers in all of the gene or at all of the CpG positions of Table 3, Table 4, Table 5, Table 6 or Table 7. In certain aspects, the set of methylation markers may comprise markers in or near the NHLRC1 (SEQ ID NO: 357), GREM1 (SEQ ID NO: 356), SCGN (SEQ ID NO: 358) or EDARADD (SEQ ID NO: 355) genes. In one embodiment, probes cg22736354 (SEQ ID NO: 158) near gene NHLRC1, cg21296230 near gene GREM1 (SEQ ID NO: 354), cg06493994 (SEQ ID NO: 46) near gene SCGN, and/or cg09809672 (SEQ ID NO: 252) near gene EDARADD are used.

In some aspects the age of an individual is determined based on the age of the biological sample. For example, the age of individual can be determined by determining the age of biological sample from a peripheral tissue sample (e.g., a blood or saliva sample) from the individual. A method may further comprise, for instance, reporting the age of the sample or of the individual, e.g., by preparing a written, oral or electronic report.

In another embodiment there is provided a tangible computer-readable medium comprising computer-readable code that, when executed by a computer, causes the computer to perform operations comprising receiving information corresponding to methylation levels of a set of methylation markers in a biological sample, said markers comprising markers in at least 2 of the genes listed in Table 3, Table 4, Table 5, Table 6 or Table 7 and determining the age of the biological sample by applying a statistical prediction algorithm to the measured methylation marker levels. In some aspects, the set of methylation markers may comprise markers in at least, or at most, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 205, 210, 215, 220, 225, 230, 235, 240, 245, 250, 255, 260, 265, 270, 275, 280, 285, 290, 295, 300, 305, 310, 315, 320, 325, 330, 335, 340, 345, 350, or 354 of the genes listed in Table 3, Table 4, Table 5, Table 6 or Table 7. In further aspects, the set of methylation markers may comprise markers at least, or at most, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 205, 210, 215, 220, 225, 230, 235, 240, 245, 250, 255, 260, 265, 270, 275, 280, 285, 290, 295, 300, 305, 310, 315, 320, 325, 330, 335, 340, 345, 350, or 354 of the CpG positions listed in Table 3, Table 4, Table 5, Table 6 or Table 7. In some aspects, determining the age of the biological sample may further comprise comparing the measured methylation marker levels to reference marker levels. The reference levels may, optionally, be stored in said tangible computer-readable medium. In certain aspects, determining the age of the biological sample may comprise applying a linear regression model to predict sample age based on a weighted average of the methylation marker levels plus an offset.

In some aspects the receiving information may comprise receiving from a tangible data storage device information corresponding to the methylation levels of the set of methylation markers in the biological sample. In other aspects the receiving information may further comprise receiving information corresponding to methylation levels of a set of methylation markers in a biological sample, said markers comprising markers in at least, or at most, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 205, 210, 215, 220, 225, 230, 235, 240, 245, 250, 255, 260, 265, 270, 275, 280, 285, 290, 295, 300, 305, 310, 315, 320, 325, 330, 335, 340, 345, 350, or 354 of the genes listed in Table 3, Table 4, Table 5, Table 6 or Table 7.

Further aspects of the tangible computer-readable medium may comprise computer-readable code that, when executed by a computer, causes the computer to perform one or more additional operations comprising: sending information corresponding to the methylation levels of the set of methylation markers in the biological sample to a tangible data storage device.

In certain aspects of the embodiments measuring methylation marker comprises, performing methylation specific PCR (MSP), real-time methylation specific PCR, methylation-sensitive single-strand conformation analysis (MS-SSCA), quantitative methylation specific PCR (QMSP), PCR using a methylated DNA-specific binding protein, high resolution melting analysis (HRM), methylation-sensitive single-nucleotide primer extension (MS-SnuPE), base-specific cleavage/MALDI-TOF, PCR, real-time PCR, Combined Bisulfite Restriction Analysis (COBRA), methylated DNA immunoprecipitation (MeDIP), a microarray-based method, pyrosequencing, or bisulfite sequencing. For example, measuring a methylation marker can comprise performing array-based PCR (e.g., digital PCR), targeted multiplex PCR, or direct sequencing without bisulfite treatment (e.g., via a nanopore technology). In some aspects, determining methylation status comprises methylation specific PCR, real-time methylation specific PCR, quantitative methylation specific PCR (QMSP), or bisulfite sequencing. In certain aspects, a method according to the embodiments comprises treating DNA in or from a sample with bisulfite (e.g., sodium bisulfite) to convert unmethylated cytosines of CpG dinucleotides to uracil.

BRIEF DESCRIPTION OF THE DRAWINGS

Referring now to the drawings in which like reference numbers represent corresponding parts throughout:

FIG. 1: Univariate predictor of age in blood tissue from multiple independent studies. The predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 7.2 years. Correlation between true and predicted age is 0.76.

FIG. 2: Univariate linear predictor of age in brain tissues (using samples from temporal cortex, frontal cortex, and PONS). The predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 6.1 years. Correlation between true and predicted age is 0.88.

FIG. 3: Univariate linear predictor of age by brain region (frontal cortex, temporal cortex, PONS and overall).

FIG. 4: Multivariate predictor of age in whole blood tissue from multiple independent studies. The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 5.4 years. Correlation between true and predicted age is 0.90.

FIG. 5: Multivariate predictor of age in brain tissues (using samples from temporal cortex, frontal cortex, and PONS). The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 5.9 years. Correlation between true and predicted age is 0.89.

FIG. 6: Multivariate predictor of age by brain region (e.g. frontal cortex, temporal cortex, PONS and overall).

FIG. 7: Multivariate predictor of age in saliva tissue. The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 4.9 years. Correlation between true and predicted age is 0.67.

FIG. 8: Multivariate predictor of age in whole blood tissue from multiple independent studies. The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 5.1 years. Correlation between true and predicted age is 0.91.

FIG. 9: Multivariate predictor of age in brain tissues (using samples from temporal cortex, frontal cortex, and PONS). The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 5.8 years. Correlation between true and predicted age is 0.90.

FIG. 10: Multivariate predictor of age by brain region (frontal cortex, temporal cortex, PONS and overall).

FIG. 11: Multivariate predictor of age in saliva tissue. The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 4.4 years. Correlation between true and predicted age is 0.71.

FIG. 12: Multivariate predictor of age in brain tissues (using samples from temporal cortex, frontal cortex, and PONS). The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 8.2 years. Correlation between true and predicted age is 0.84.

FIG. 13: Multivariate predictor of age by brain region (frontal cortex, temporal cortex, PONS and overall).

FIG. 14: Multivariate predictor of age in saliva tissue. The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 4.2 years. Correlation between true and predicted age is 0.72.

FIG. 15: Although the markers work particularly well in saliva and brain, they also work quite well in blood tissue. The multivariate predictor of true (chronological) age is highly accurate: Median absolute deviation between predicted and true age is only 6.1 years. Correlation between true and predicted age is 0.988.

FIG. 16: Each column corresponds to different embodiments of the multi-tissue age predictor. The first and second rows show the results in the training data sets and test sets respectively. Each dot corresponds to a human subject and is colored and labeled according to the data set (Table 1 in Horvath 2013). Each panel reports the median error and correlation coefficient between predicted age and chronological age. The first column (panels A, F) shows how one embodiment of the multi-tissue age predictor (based on 354 CpGs, Table 3) performs in the training data (A) and test data (F). The second column (panels B,G) shows the performance of another embodiment of the multi-tissue age predictor based on a “shrunken” subset of 110 CpGs. Similarly, columns three, four, and five report the results of other embodiments of the multi-tissue age predictor based on 38, 17, and 6 CpGs, respectively. Even 6 CpGs (panel J) lead to a very high correlation 0.89 in the test data but the error rate (8.9 years) is substantially higher than that (3.6 years, panel F) observed for the predictor that uses 354 CpGs.

FIG. 17: Chronological age (y-axis) versus DNAm age (x-axis) in the test data. (A) Across all test data, the age correlation is 0.96 and the error is 3.6 years. Results for (B) CD4 T cells measured at birth (age zero) and at age 1 (cor=0.78, error=0.27 years), (C) CD4 T cells and CD14 monocytes (cor=0.90, error=3.7), (D) peripheral blood mononuclear cells (cor=0.96, error=1.9), (E) whole blood (cor=0.95, error=3.7), (F) cerebellar samples (cor=0.92, error=5.9), (G) occipital cortex (cor=0.98, error=1.5), (H) normal adjacent breast tissue (cor=0.87, error=13), (I) buccal epithelium (cor=0.83, error=0.37), (J) colon (cor=0.85, error=5.6), (K) fat adipose (cor=0.65, error=2.7), (L) heart (cor=0.77, error=12), (M) kidney (cor=0.86, error=4.6), (N) liver (cor=0.89, error=6.7), (0) lung (cor=0.87, error=5.2), (P) muscle (cor=0.70, error=18), (Q) saliva (cor=0.83, error=2.7), (R) uterine cervix (cor=0.75, error=6.2), (S) uterine endometrium (cor=0.55, 11), (T) various blood samples composed of 10 Epstein Barr Virus transformed B cell, three naive B cell, and three peripheral blood mononuclear cell samples (cor=0.46, error=4.4). Samples are colored by disease status: brown for Werner progeroid syndrome, blue for Hutchinson-Gilford progeria, and turquoise for healthy control subjects.

DETAILED DESCRIPTION OF THE INVENTION

In the description of embodiments, reference may be made to the accompanying figures which form a part hereof, and in which is shown by way of illustration a specific embodiment in which the invention may be practiced. It is to be understood that other embodiments may be utilized and structural changes may be made without departing from the scope of the present invention.

All publications mentioned herein are incorporated herein by reference to disclose and describe aspects, methods and/or materials in connection with the cited publications. Publications cited herein are cited for their disclosure prior to the filing date of the present application. Nothing here is to be construed as an admission that the inventors are not entitled to antedate the publications by virtue of an earlier priority date or prior date of invention. Further, the actual publication dates may be different from those shown and require independent verification.

Many of the techniques and procedures described or referenced herein are well understood and commonly employed by those skilled in the art. Unless otherwise defined, all terms of art, notations and other scientific terms or terminology used herein are intended to have the meanings commonly understood by those of skill in the art to which this invention pertains. In some cases, terms with commonly understood meanings are defined herein for clarity and/or for ready reference, and the inclusion of such definitions herein should not necessarily be construed to represent a substantial difference over what is generally understood in the art.

The term “epigenetic” as used herein means relating to, being, or involving a modification in gene expression that is independent of DNA sequence. Epigenetic factors include modifications in gene expression that are controlled by changes in DNA methylation and chromatin structure. For example, methylation patterns are known to correlate with gene expression.

The term “nucleic acids” as used herein may include any polymer or oligomer of pyrimidine and purine bases, preferably cytosine, thymine, and uracil, and adenine and guanine, respectively. The present invention contemplates any deoxyribonucleotide, ribonucleotide or peptide nucleic acid component, and any chemical variants thereof, such as methylated, hydroxymethylated or glucosylated forms of these bases, and the like. The polymers or oligomers may be heterogeneous or homogeneous in composition, and may be isolated from naturally-occurring sources or may be artificially or synthetically produced. In addition, the nucleic acids may be DNA or RNA, or a mixture thereof, and may exist permanently or transitionally in single-stranded or double-stranded form, including homoduplex, heteroduplex, and hybrid states.

The terms “oligonucleotide” and “polynucleotide” as used herein refers to a nucleic acid ranging from at least 2, preferable at least 8, and more preferably at least 20 nucleotides in length or a compound that specifically hybridizes to a polynucleotide. Polynucleotides of the present invention include sequences of deoxyribonucleic acid (DNA) or ribonucleic acid (RNA) which may be isolated from natural sources, recombinantly produced or artificially synthesized and mimetics thereof.

The term “methylation marker” as used herein refers to a CpG position that is potentially methylated. Methylation typically occurs in a CpG containing nucleic acid. The CpG containing nucleic acid may be present in, e.g., in a CpG island, a CpG doublet, a promoter, an intron, or an exon of gene. For instance, in the genetic regions provided herein the potential methylation sites encompass the promoter/enhancer regions of the indicated genes. Thus, the regions can begin upstream of a gene promoter and extend downstream into the transcribed region.

The term “genome” or “genomic” as used herein is all the genetic material in the chromosomes of an organism. DNA derived from the genetic material in the chromosomes of a particular organism is genomic DNA.

The term “gene” as used herein refers to a region of genomic DNA associated with a given gene. For example, the region can be defined by a particular gene (such as protein coding sequence exons, intervening introns and associated expression control sequences) and its flanking sequence. It is, however, recognized in the art that methylation in a particular region is generally indicative of the methylation status at proximal genomic sites. Accordingly, determining a methylation status of a gene region can comprise determining a methylation status of a methylation marker within or flanking about 10 bp to 50 bp, about 50 to 100 bp, about 100 bp to 200 bp, about 200 bp to 300 bp, about 300 to 400 bp, about 400 bp to 500 bp, about 500 bp to 600 bp, about 600 to 700 bp, about 700 bp to 800 bp, about 800 to 900 bp, 900 bp to lkb, about 1 kb to 2 kb, about 2 kb to 5 kb, or more of a named gene, or CpG position.

The phrase “selectively measuring” as used herein refers to methods wherein only a finite number of methylation marker or genes (comprising methylation markers) are measured rather than assaying essentially all potential methylation marker (or genes) in a genome. For example, in some aspects, “selectively measuring” methylation markers or genes comprising such markers can refer to measuring no more than 1,000, 900, 800, 700, 600, 500, 400 or 354 different methylation markers or genes comprising methylation markers.

The term “probes” as used herein are oligonucleotides capable of binding in a base-specific manner to a complementary strand of nucleic acid. The term “probe” as used herein refers to a surface-immobilized molecule that can be recognized by a particular target as well as molecules that are not immobilized and are coupled to a detectable label.

The term “label” as used herein refers, for example, to colorimetric (e.g. luminescent) labels, light scattering labels or radioactive labels. Fluorescent labels include, inter alia, the commercially available fluorescein phosphoramidites such as Fluoreprime™ (Pharmacia™), Fluoredite™ (Millipore™) and FAM™ (ABI™) (see, e.g. U.S. Pat. Nos. 6,287,778 and 6,582,908).

The term “primer” as used herein refers to a single-stranded oligonucleotide capable of acting as a point of initiation for template-directed DNA synthesis under suitable conditions for example, buffer and temperature, in the presence of four different nucleoside triphosphates and an agent for polymerization, such as, for example, DNA or RNA polymerase or reverse transcriptase. The length of the primer, in any given case, depends on, for example, the intended use of the primer, and generally ranges from 15 to 30 nucleotides. A primer need not reflect the exact sequence of the template but must be sufficiently complementary to hybridize with such template. The primer site is the area of the template to which a primer hybridizes. The primer pair is a set of primers including a 5′ upstream primer that hybridizes with the 5′ end of the sequence to be amplified and a 3′ downstream primer that hybridizes with the complement of the 3′ end of the sequence to be amplified.

The term “complementary” as used herein refers to the hybridization or base pairing between nucleotides or nucleic acids, such as, for instance, between the two strands of a double stranded DNA molecule or between an oligonucleotide primer and a primer binding site on a single stranded nucleic acid to be sequenced or amplified. Complementary nucleotides are, generally, A and T (or A and U), or C and G. Two single stranded RNA or DNA molecules are said to be complementary when the nucleotides of one strand, optimally aligned and compared and with appropriate nucleotide insertions or deletions, pair with at least about 80% of the nucleotides of the other strand, usually at least about 90% to 95%, and more preferably from about 98 to 100%. Alternatively, complementarity exists when an RNA or DNA strand will hybridize under selective hybridization conditions to its complement. Typically, selective hybridization will occur when there is at least about 65% complementary over a stretch of at least 14 to 25 nucleotides, preferably at least about 75%, more preferably at least about 90% complementary. See, M. Kanehisa, Nucleic Acids Res. 12:203 (1984), incorporated herein by reference.

The term “hybridization” as used herein refers to the process in which two single-stranded polynucleotides bind non-covalently to form a stable double-stranded polynucleotide; triple-stranded hybridization is also theoretically possible. Factors that can affect the stringency of hybridization, including base composition and length of the complementary strands, presence of organic solvents and extent of base mismatching, the combination of parameters is more important than the absolute measure of any one alone. Hybridization conditions suitable for microarrays are described in the Gene Expression Technical Manual, 2004 and the GeneChip Mapping Assay Manual, 2004, available at Affymetrix.com.

The term “array” or “microarray” as used herein refers to an intentionally created collection of molecules which can be prepared either synthetically or biosynthetically (e.g. Illumina™ HumanMethylation27 microarrays). The molecules in the array can be identical or different from each other. The array can assume a variety of formats, for example, libraries of soluble molecules; libraries of compounds tethered to resin beads, silica chips, or other solid supports.

The term “solid support”, “support”, and “substrate” as used herein are used interchangeably and refer to a material or group of materials having a rigid or semi-rigid surface or surfaces. In many embodiments, at least one surface of the solid support will be substantially flat, although in some embodiments it may be desirable to physically separate synthesis regions for different compounds with, for example, wells, raised regions, pins, etched trenches, or the like. According to other embodiments, the solid support(s) will take the form of beads, resins, gels, microspheres, or other geometric configurations. See U.S. Pat. No. 5,744,305 for exemplary substrates.

In the following description, embodiments utilizing a linear combination are discussed. Those of skill in the art understand that this aspect of the invention is not limited to linear combinations and is merely a typical example. For example, a product or ratio may be used instead. Such a product would be mathematically equivalent to forming a linear combination of log transformed methylation levels.

DESCRIPTION OF ILLUSTRATIVE ASPECTS OF THE INVENTION

As disclosed herein, a number of locations have been identified in the human genome for which the percentage of DNA methylation is linearly correlated with age. By measuring the DNA methylation at just a few of the 3 billion nucleotides in an individual's genome, the present invention allows for accurate estimations of the individual's chronological age. While previous studies have shown that DNA methylation in certain parts of the genome changes with age, the present invention identifies loci where methylation is continuously correlated with age, over a range of at least 5 decades. This allows for a highly accurate prediction of an individual's age. In certain embodiments of the invention, the link between age and this chemical change in the DNA is so strong that it is possible to estimate the age of an individual by examining, for example, just two spots in the genome of the individual (see Bockland et al., et al. (2011) PLoS ONE 6(6): e14821. doi:10.1371/journal.pone.0014821). In addition, certain aspects of this invention have been confirmed by other studies (see, e.g. Koch et al., (2011) AGING, Vol. 3, No 10, pp 1,018-1,027). A related publication (United States Application Publication No. 2014/0228231) filed by Eric Vilain et al. on Aug. 14, 2014 and titled “Method to Estimate Age of Individual Based On Epigenetic Markers in Biological Sample,” is incorporated by reference in its entirety herein. A publication “DNA methylation age of human tissues and cell types” by Steve Horvath (Horvath (2013) Genome Biology 14:R115) is also incorporated by reference in its entirety herein.

The present invention relates to methods for estimating the chronological and/or biological age of an individual human tissue or cell type sample based on measuring DNA Cytosine-phosphate-Guanine (CpG) methylation markers that are attached to our DNA. In a general embodiment of the invention, a method is disclosed comprising a first step of choosing a biological cell or tissue sample (e.g. whole blood, individual blood cells, saliva, brain). In a second step, genomic DNA is extracted from the collected tissue of the individual for whom an age prediction is desired. In a third step, the methylation levels of the methylation markers near the specific clock CpGs are measured. In a fourth step, a statistical prediction algorithm is applied to the methylation levels to predict the biological or chronological age. One basic approach is to form a weighted average of the clock CpGs, which is then transformed to DNAm age using a calibration function. A detailed description of the data pre-processing, data normalization, age prediction steps is provided in Example 8.

One embodiment focuses on forming a linear combination of 354 CpGs (Table 3, SEQ ID NO: 1-354), which is then transformed to an age estimate using a calibration function. The weighted average of the degree of cytosine methylation at these 354 locations is significantly correlated with age, including but not limited to, human brain tissue (frontal cortex, temporal cortex, PONS), blood tissue (whole blood, cord blood and blood cells), liver, adipose, skin, kidney, prostate, muscle, and saliva tissue. The linear combination of the 354 CpGs (which are referred to as clock CpGs) can be interpreted as an epigenetic clock. The resulting predicted age is referred to as DNA methylation (DNAm) age. In other embodiments, a linear combination of 110, 38, 15 or 6 CpGs are used (Tables 4-7 respectively), which are subsets of the 354 CpGs. In specific instances, these subsets or sub-clocks were determined by increasing the threshold of the penalty term in a penalized regression model. In further embodiments of the invention, these sequences can include either translated or untranslated 5′ regulatory regions; and optionally are within 1 kilobase (5′ or 3′) of the specific GC loci that are identified herein.

In a further embodiment there is provided a method for determining age of a biological sample comprising selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 6 of the genes listed in Table 3 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 205, 210, 215, 220, 225, 230, 235, 240, 245, 250, 255, 260, 265, 270, 275, 280, 285, 290, 295, 300, 305, 310, 315, 320, 325, 330, 335, 340, 345, 350, or 354 of the genes listed in Table 3. In further aspects, the set of methylation markers may comprise markers in at least or at most 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140, 145, 150, 155, 160, 165, 170, 175, 180, 185, 190, 195, 200, 205, 210, 215, 220, 225, 230, 235, 240, 245, 250, 255, 260, 265, 270, 275, 280, 285, 290, 295, 300, 305, 310, 315, 320, 325, 330, 335, 340, 345, 350, or 354 of the CpG positions listed in Table 3.

In a further aspect, a method of the embodiments comprises selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 6 of the genes listed in Table 4 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105 or 110 of the genes listed in Table 4. In further aspects, the set of methylation markers may comprise markers in at least or at most 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105 or 110 of the CpG positions listed in Table 4.

In yet a further aspect, a method of the embodiments comprises selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 3 of the genes listed in Table 5 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 or 38 of the genes listed in Table 5. In further aspects, the set of methylation markers may comprise markers in at least or at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 or 38 of the CpG positions listed in Table 5.

In yet still a further aspect, a method of the embodiments comprises selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 3 of the genes listed in Table 6 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or 17 of the genes listed in Table 6. In further aspects, the set of methylation markers may comprise markers in at least or at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or 17 of the CpG positions listed in Table 6.

In still a further aspect, a method of the embodiments comprises selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in least 2 of the genes listed in Table 7 and determining the age of the sample based on said methylation levels. In some aspects, the set of methylation markers may comprise markers in at least or at most 2, 3, 4, 5 or 6 of the genes listed in Table 7. In further aspects, the set of methylation markers may comprise markers in at least or at most 2, 3, 4, 5 or 6 of the CpG positions listed in Table 7.

In another aspect of the invention, a set of four methylation markers are disclosed that continuously relate to age in human blood, brain tissue, and saliva. Specifically, DNA methylation markers near the following genes: NHLRC1, GREM1, SCGN have highly significant positive correlations with age in multiple human tissues. Methylation markers near gene EDARADD have a highly significant negative correlation with age in multiple tissues. In one embodiment, the methylation markers comprise of probes cg22736354 (SEQ ID NO: 158) near gene NHLRC1, cg21296230 near gene GREM1 (SEQ ID NO: 354), cg06493994 (SEQ ID NO: 46) near gene SCGN, and cg09809672 (SEQ ID NO: 252) near gene EDARADD. Methods for estimating age are provided which involve one to four of these markers. In these methods, biological cell or tissue sample is collected from an individual. Genomic DNA is extracted from the collected tissue and the methylation level of the methylation markers near at least one of the NHLRC1 (SEQ ID NO: 357), GREM1 (SEQ ID NO: 356), SCGN (SEQ ID NO: 358), and EDARADD (SEQ ID NO: 355) genes are measured. A statistical prediction algorithm is applied to the measured methylation levels to determine the biological or chronological age of the individual.

Embodiments of the invention include methods where observations of cytosine methylation in genomic DNA from a biological sample are used to predict the chronological age of the individual from which a sample is derived. Other embodiments of these methods comprise calculating a theoretical biological age (bio-age) of the individual based on the degree/amount of cytosine methylation observed in the sequence and then comparing the theoretical bio-age of the individual to an actual chronological age of the individual. In this way, information useful to determine a level of risk of an age-related disease in the individual is obtained. Optionally for example, the theoretical bio-age of the individual is compared to an actual chronological age to determine if the theoretical bio-age is greater than the actual chronological age; and the method further includes providing an individualized treatment to the individual to bring the theoretical bio-age closer to the actual chronological age of the individual.

DNAm age is a valuable biomarker for studying human development, aging, and cancer and can be used as a surrogate marker for evaluating rejuvenation therapies. The most salient feature of DNAm age is its applicability to a broad spectrum of tissues and cell types. DNAm age has been found to accurately predict age in various sources of DNA, including: adipose tissue/fat, blood (whole blood, cord blood, blood cells, peripheral blood mononuclear cells, B cells, T cells, monocytes), brain tissue (frontal cortex, temporal cortex, PONS), breast, buccal cells/epithelium, cartilage, cerebellum, colon, cortex (pre-frontal-, frontal-, occipital-, temporal cortex), epidermis, fibroblasts (e.g. dermal fibroblasts), gastric tissue, glial cells, head/neck tissue, kidney, lung, liver, mesenchymal stromal cells, neurons, pancreas, pons, prostate, saliva, stomach, thyroid, uterine cervix, and many other tissues/cell types. After incorporating an offset, it has also been found to perform well in heart tissue. Furthermore, DNAm age of easily accessible fluids/tissues (e.g. saliva, buccal cells, blood, skin) can serve as a surrogate marker for inaccessible tissues (e.g. brain, kidney, liver). Further, DNAm age can be used to compare the ages of different parts of the human body, e.g. to find diseased organs or tissues.

In another aspect of the present invention, a method is provided for estimating age in multiple tissues (e.g. whole blood, individual blood cells, saliva or brain tissue). In a further aspect, as shown below, easily accessible tissues (e.g. blood, saliva, buccal cells, epidermis) can be used to measure age in inaccessible tissues (e.g. brain). In one embodiment of the present invention, a method is provided for estimating of the chronological and/or biological age of an individual's human brain based on measuring DNA CpG methylation markers that are attached to the individual's DNA. Generally, human brain tissue from living individuals is not accessible and available for such measurements. However, as disclosed herein, a small set of DNA methylation markers can be measured in more accessible tissues, such as blood or saliva samples, to estimate the age-related methylation changes in the brain and other tissues. Thus, one is able to accurately predict an individual's age in the brain tissue based on blood or saliva measurements. Illustrative embodiments of this aspect of the invention include, for example, a method of predicting the age of a human by observing the methylation status of a plurality of markers such as at least 6, 17, 38, 100 markers (see, e.g. Tables 3-6) in biological sample from a human, comparing the methylation status observed in to methylation patterns observed in a population of individuals of differing ages (e.g. using a statistical prediction algorithm), and then predicting age of human from whom sample was obtained based upon the information obtained in this comparison step.

Many articles have described age-related changes in various human tissues, e.g. blood, saliva, and brain. However, these studies have never attempted to build a predictor of age in multiple tissues or cell types at the same time (e.g. combining brain and blood data). Instead, the studies have only focused on creating large lists of age-related CpG markers in various tissues for the sake of studying the biological impact of aging on individual CpGs. Currently, only three publications describe age predictors based on DNA methylation levels (Bockland et al. [23], Koch et al. [21], Hannum et al. [24]) but these publications focus on individual tissues or fluids (e.g. blood or saliva). Notably, Hannum et al. [24] found that computing a DNA methylation-based age predictor for different tissues gave basically no overlap, e.g. blood-derived predictive CpGs were different from those from other tissues. Comparison studies show that the age predictor of the present invention greatly outperforms the predictors by Bockland et al. [23] and Koch et al. [21]. A direct comparison with the predictor of Hannum et al. [24] was not possible because their predictor included additional covariates (data batch, gender and body mass index). The multi-tissue predictor provided herein only uses the clock CpGs, i.e. it does not require additional covariates.

CpGs/genes overlapping with the subclocks (110, 38, 17, and 6 CpGs shown in Tables 4, 5, 6, and 7 respectively) for Hannum/Bell include: 110/38/17/6-IP08 (alias: RANBP8) and NHLRC1; 110/38/17-KLF4, SCGN, RHBDD1, and C16orf65; 110/38-MGC16703 (alias: P2RX6) and FZD9; 38-BRUNOL6; 110-ABCA17P (alias: ABCA3), PIPDX, ABHD14B, EDARADD, GRP25, F1132110 (alias: ZNF8048) and LAG3.

In another aspect of the present invention, a very simple and cost-effective kit is provided for estimating DNAm age based on the clock CpGs. In some embodiments of the invention, the kit comprises a methylation microarray (see, e.g. U.S. Patent Application Publication No. 2006/0292585, the contents of which are incorporated by reference). In one embodiment, the kit is used to estimate the chronological and biological age of brain tissue or blood tissue utilizing measurements in blood or saliva. Microfluidics devices can be applied to easily accessible tissues/fluids such as blood, buccal cells, or saliva. Optionally, the kit comprises a plurality of primer sets for amplifying at least two genomic DNA sequences. In some embodiments of the invention, the kit further comprises a probe or primer used to perform a DNA fingerprinting analysis. Such kits of the invention can further include a reagent used in a genomic DNA polymerization process, a genomic DNA hybridization process, and/or a genomic DNA bisulfite conversion process. In one exemplary implementation, a kit is provided for obtaining information useful to determine the age of an individual, the kit comprising a plurality of primers or probes specific for at least one genomic DNA sequence in a biological sample, wherein the genomic DNA sequences comprises a CG loci identified in FIG. 4. The invention is may also be provided in a fully developed software package or web-based program. For example, a user may access a webpage and upload their DNA methylation data. The program then emails the results, including the predicted age (DNAm age), to the user.

DNA methylation of the methylation markers (or markers close to them) can be measured using various approaches, which range from commercial array platforms (e.g. from Illumina™) to sequencing approaches of individual genes. This includes standard lab techniques or array platforms. A variety of methods for detecting methylation status or patterns have been described in, for example U.S. Pat. Nos. 6,214,556, 5,786,146, 6,017,704, 6,265,171, 6,200,756, 6,251,594, 5,912,147, 6,331,393, 6,605,432, and 6,300,071 and US Patent Application publication Nos. 20030148327, 20030148326, 20030143606, 20030082609 and 20050009059, each of which are incorporated herein by reference. Other array-based methods of methylation analysis are disclosed in U.S. patent application Ser. No. 11/058,566. For a review of some methylation detection methods, see, Oakeley, E. J., Pharmacology & Therapeutics 84:389-400 (1999). Available methods include, but are not limited to: reverse-phase HPLC, thin-layer chromatography, SssI methyltransferases with incorporation of labeled methyl groups, the chloracetaldehyde reaction, differentially sensitive restriction enzymes, hydrazine or permanganate treatment (m5C is cleaved by permanganate treatment but not by hydrazine treatment), sodium bisulfite, combined bisulphate-restriction analysis, and methylation sensitive single nucleotide primer extension.

The methylation levels of a subset of the DNA methylation markers disclosed herein are assayed (e.g. using an Illumina™ DNA methylation array, or using a PCR protocol involving relevant primers). To quantify the methylation level, one can follow the standard protocol described by Illumina™ to calculate the beta value of methylation, which equals the fraction of methylated cytosines in that location. The invention can also be applied to any other approach for quantifying DNA methylation at locations near the genes as disclosed herein. DNA methylation can be quantified using many currently available assays which include, for example:

a) Molecular break light assay for DNA adenine methyltransferase activity is an assay that is based on the specificity of the restriction enzyme DpnI for fully methylated (adenine methylation) GATC sites in an oligonucleotide labeled with a fluorophore and quencher. The adenine methyltransferase methylates the oligonucleotide making it a substrate for DpnI. Cutting of the oligonucleotide by DpnI gives rise to a fluorescence increase.

b) Methylation-Specific Polymerase Chain Reaction (PCR) is based on a chemical reaction of sodium bisulfite with DNA that converts unmethylated cytosines of CpG dinucleotides to uracil or UpG, followed by traditional PCR. However, methylated cytosines will not be converted in this process, and thus primers are designed to overlap the CpG site of interest, which allows one to determine methylation status as methylated or unmethylated. The beta value can be calculated as the proportion of methylation.

c) Whole genome bisulfite sequencing, also known as BS-Seq, is a genome-wide analysis of DNA methylation. It is based on the sodium bisulfite conversion of genomic DNA, which is then sequencing on a Next-Generation Sequencing (NGS) platform. The sequences obtained are then re-aligned to the reference genome to determine methylation states of CpG dinucleotides based on mismatches resulting from the conversion of unmethylated cytosines into uracil.

d) The Hpall tiny fragment Enrichment by Ligation-mediated PCR (HELP) assay is based on restriction enzymes' differential ability to recognize and cleave methylated and unmethylated CpG DNA sites.

e) Methyl Sensitive Southern Blotting is similar to the HELP assay but uses Southern blotting techniques to probe gene-specific differences in methylation using restriction digests. This technique is used to evaluate local methylation near the binding site for the probe.

f) ChIP-on-chip assay is based on the ability of commercially prepared antibodies to bind to DNA methylation-associated proteins like MeCP2.

g) Restriction landmark genomic scanning is a complicated and now rarely-used assay is based upon restriction enzymes' differential recognition of methylated and unmethylated CpG sites. This assay is similar in concept to the HELP assay.

h) Methylated DNA immunoprecipitation (MeDIP) is analogous to chromatin immunoprecipitation. Immunoprecipitation is used to isolate methylated DNA fragments for input into DNA detection methods such as DNA microarrays (MeDIP-chip) or DNA sequencing (MeDIP-seq).

i) Pyrosequencing of bisulfite treated DNA is a sequencing of an amplicon made by a normal forward primer but a biatenylated reverse primer to PCR the gene of choice. The Pyrosequencer then analyses the sample by denaturing the DNA and adding one nucleotide at a time to the mix according to a sequence given by the user. If there is a mismatch, it is recorded and the percentage of DNA for which the mismatch is present is noted. This gives the user a percentage methylation per CpG island.

In certain embodiments of the invention, the genomic DNA is hybridized to a complimentary sequence (e.g. a synthetic polynucleotide sequence) that is coupled to a matrix (e.g. one disposed within a microarray). Optionally, the genomic DNA is transformed from its natural state via amplification by a polymerase chain reaction process. For example, prior to or concurrent with hybridization to an array, the sample may be amplified by a variety of mechanisms, some of which may employ PCR. See, for example, PCR Technology: Principles and Applications for DNA Amplification (Ed. H. A. Erlich, Freeman Press, NY, N.Y., 1992); PCR Protocols: A Guide to Methods and Applications (Eds. Innis, et al., Academic Press, San Diego, Calif., 1990); Mattila et al., Nucleic Acids Res. 19, 4967 (1991); Eckert et al., PCR Methods and Applications 1, 17 (1991); PCR (Eds. McPherson et al., IRL Press, Oxford); and U.S. Pat. Nos. 4,683,202, 4,683,195, 4,800,159, 4,965,188, and 5,333,675. The sample may be amplified on the array. See, for example, U.S. Pat. No. 6,300,070, which is incorporated herein by reference.

Any statistical approach can be used to relate the methylation levels to age, e.g. a transformed version of chronological age can be regressed on the CpG markers using a (penalized) linear regression model (such as elastic net regression) as described herein. Using conventional regression model/analysis tools and methodologies known in the art, a number of age prediction models are contemplated for use with specific genomic DNA samples and/or specific analysis techniques and/or specific individual populations (see, e.g., statistical package R version 2.11.1 in citation as discussed in R Development Core Team (2005) R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. ISBN 3-900051-07-0, URL www.R-project.org). In one embodiment, an identity transformation may be used, wherein chronological age is simply regressed on the CpGs. In other embodiments, the chronological age (the dependent variable in a penalized regression model) is transformed. In illustrative experiments, this transformation has been found to lead to an age predictor that is substantially more accurate (in relation to error) and that requires substantially fewer CpGs than one without the transformation. Additionally, one can form a weighted average of the CpGs.

In another embodiment, a linear regression model may predict age based on a weighted average of the methylation levels plus an offset. To identify the weights for the weighted average, one can use the regression coefficients of a regression model. In another embodiment, one can standardize each methylation marker so that it has a mean zero and variance. A weighted average of the standardized methylation levels is then formed where the weights are chosen to equal their correlation with age in a training data set times the standard deviation of the ages that is expected in the test data set. In one or more embodiments, the transformation of the dependent variable (i.e. chronological age) is a piecewise transformation: for ages between say 0 and 20, a logarithmic transformation is used. For ages older than 20, a linear transformation is used. Additionally, the dependent variables (CpGs) are “normalized” to a chosen gold standard (e.g. the mean methylation level in the training data or the mean methylation levels in blood tissue) using an adaptation of the BMIQ algorithm by Teschendorff. Further details are provided in Example 8. This normalization step ensures that future test data resemble those of the training data.

For example, in one training data set disclosed herein, methylation markers cg22736354 (SEQ ID NO: 158), cg21296230 (SEQ ID NO: 354), cg06493994 (SEQ ID NO: 46), and cg09809672 (SEQ ID NO: 252) near genes NHLRC1, GREM1, SCGN, and EDARADD have correlations r=−0.47, 0.80, 0.71, and 0.76, respectively (see Examples). In the training data set, the standard deviation of age was 24 and the mean value was 45. After forming this weighted average of the standardized methylation levels, the expected mean age in the test data set (e.g. 45) is added to arrive at the final prediction of the chronological and/or the biological age of the individual. While the prediction is based on the chosen tissue, it also applies to other tissues. Therefore, easily accessible tissues such as blood or saliva tissue can be used to predict the age of brain tissue or other inaccessible tissues.

In addition to the illustrative models disclosed herein, other models can, for example, customize the coefficient values (weights) for different tissues and/or cell lineages. Furthermore, in addition to tissue type, such coefficients can be weighted in data sets from different populations. For example, if a model is applied to pediatric patients only, then one set of coefficients can be used. Alternatively, if a model is applied exclusively to older people (e.g. greater than 50 years), another set of coefficients can be used. Alternatively, coefficients can be fixed, for example, when a model is broadly applied to people of ages from 10 to 100 etc. Coefficient values in various models can also reflect the specific assay that is used to measure the methylation levels (e.g. as the variance of the methylation levels of individual probes may affect the coefficient). For example, for beta values measured on Illumina™ methylation microarray platforms there can be one set of coefficients, while for other methylation measures (e.g. using sequencing technology) there can be another set of coefficients etc. Other values may also be used instead, such as M values (transformed versions of beta values). Furthermore, methylation levels may be replaced by values that adjust for the methylation levels of a background or by mean methylation levels of a set benchmark of CpGs. In practicing certain embodiments of the invention, one can collect a reference data set (e.g. of 100 individuals of varying ages) using specific technology platform(s) and tissue(s) and then design a specific multivariate linear model fit to this reference data set to estimate the coefficients (e.g. using least squares regression). The resultant multivariate model can then be used for predicting ages on test patients. In this way, different mathematical models can be adapted for analyzing methylation patterns in a wide variety of contexts.

In addition to using art accepted modeling techniques (e.g. regression analyses), embodiments of the invention can include a variety of art accepted technical processes. For example, in certain embodiments of the invention, a bisulfite conversion process is performed so that cytosine residues in the genomic DNA are transformed to uracil, while 5-methylcytosine residues in the genomic DNA are not transformed to uracil. Kits for DNA bisulfite modification are commercially available from, for example, MethylEasy™ (Human Genetic Signatures™) and CpGenome™ Modification Kit (Chemicon™). See also, WO04096825A1, which describes bisulfite modification methods and Olek et al. Nuc. Acids Res. 24:5064-6 (1994), which discloses methods of performing bisulfite treatment and subsequent amplification. Bisulfite treatment allows the methylation status of cytosines to be detected by a variety of methods. For example, any method that may be used to detect a SNP may be used, for examples, see Syvanen, Nature Rev. Gen. 2:930-942 (2001). Methods such as single base extension (SBE) may be used or hybridization of sequence specific probes similar to allele specific hybridization methods. In another aspect the Molecular Inversion Probe (MIP) assay may be used.

Furthermore, the methods provided for estimating age may involve relatively few markers. In one or more certain embodiments, the methods involve between 1 to 4 markers. For example, DNA methylation markers near the following genes: NHLRC1 (SEQ ID NO: 357), GREM1 (SEQ ID NO: 356), SCGN (SEQ ID NO: 358) have highly significant positive correlations with age in multiple human tissues. Methylation markers near gene EDARADD (SEQ ID NO: 355) have a highly significant negative correlation with age in multiple tissues. By way of illustration, genes and corresponding Illumina™ Methylation probe IDs are provided. For example, the following probe identifiers from an Illumina™ methylation array platform denote suitable markers: i) probe cg22736354 (SEQ ID NO: 158) near gene NHLRC1, ii) probe cg21296230 (SEQ ID NO: 354) near gene GREM1, and iii) probe cg06493994 (SEQ ID NO: 46) near gene SCGN have positive correlations with age in multiple tissues; iv) probe cg09809672 (SEQ ID NO: 252) near gene EDARADD has a negative correlation with age in multiple tissues.

The methods for estimating an individual's age can be used for both diagnostic and prognostic purposes. The biomarkers for aging can be used to study the effect of medication, food compounds and/or special diets on the wellness and biological age of humans. They can also be used as biomarkers of vitality or youthfulness. For example, the biomarkers for aging can be used to determine chronological age (e.g. for forensic applications). They can also be used for determining and increasing an individual's likelihood of longevity and of retaining cognitive function during aging.

In certain embodiments the methods of the invention can be used to provide valuable information in forensic investigations (e.g. where the identity of the individual from which the DNA is derived is unknown). In one embodiment, the methods disclosed herein can be applied to forensic applications involving the prediction of chronological age. The methylation levels of the epigenetic markers (clock CpGs) are measured. In certain embodiments, the methylation levels of one or more of the four methylation markers near genes EDARADD, NHLRC1, GREM1, and SCGN in blood or saliva are measured. In one embodiment, probes cg22736354 (SEQ ID NO: 158) near gene NHLRC1, cg21296230 (SEQ ID NO: 354) near gene GREM1, cg06493994 (SEQ ID NO: 46) near gene SCGN, and/or cg09809672 (SEQ ID NO: 252) near gene EDARADD are used. A statistical prediction method (e.g. based on linear regression) is then applied to predict the age of the individual. The age predictive models disclosed can be applied in a variety of contexts. For instance, the ability to predict an individual's age can be used by forensic scientists to estimate a suspect's age based on a biological sample alone. In embodiments of the invention designed for forensic use, a practitioner could, for example, submit a biological sample to a lab. In the lab, DNA prepared from the sample could then be analyzed to determine the percentage of methylation at one or more of the loci identified herein. The results could be inputed in a regression model, such as those disclosed herein, to predict the age of the suspect. In certain instances, the suspect's age can be predicted to an average accuracy of 3 to 5 years.

Such embodiments of the invention can be combined with other forensic analysis procedures, for example by also performing a DNA fingerprinting analysis on the genomic DNA. DNA fingerprinting (also known as DNA profiling) using short tandem repeats (STRs) is one method for human identification in forensic sciences, finding applications in different circumstances such as determination of perpetrators of violent crime, resolving paternity, and identifying remains of missing persons or victims of mass disaster. The FBI and the forensic science community typically use 13 separate STR loci (the core CODIS loci) in routine forensic analysis. (CODIS refers to the Combined DNA Index System that was established by the FBI in 1998). Illustrative DNA fingerprinting methodologies are disclosed, for example, in U.S. Pat. Nos. 7,501,253, 7,238,486, 6,929,914, 6,251,592, and 5,576,180).

In another embodiment, the methods disclosed herein can be applied to medical applications involving the prediction of the biological age. The age is predicted according to the methods described. This predicted value is interpreted as the biological age (DNA methylation age). The prediction then is contrasted with the known chronological age of the individual. If the predicted age is higher than the chronological age, it indicates that the person appears older (or more impaired or more at risk of an age related disease) than his or her peers from the same age group, i.e. shows evidence of age acceleration.

In addition, a measurement of relevant methylation patterns in genomic DNA from white blood cells or skin cells also provides a tool in routine medical screening to predict the risk of age-related diseases as well as to tailor interventions based on the epigenetic biological age instead of the chronological age. In some embodiments of the invention, one can compare the predicted age of the individual with the actual chronological age of the individual, for example as part of a diagnostic procedure for an age associated pathology (e.g. one that compares an individual's chronological age with an apparent biological age in view of their DNA methylation patterns). Such methods can be useful in clinical interventions that are predicated on an epigenetic biological age rather than an actual chronological age. In one embodiment, a biological sample can be collected in a routine health check and sent to the lab for methylation pattern analysis (e.g. as described above). If the predicted age of the patient is higher than the real age, the patient can be at an increased risk of age-related diseases, and dietary intervention, or specific drugs, could be prescribed to reduce this “genetic age”. As noted above, embodiments of the invention include methods of obtaining information useful to determine a level of risk of an age-related disease in an individual (e.g. Alzheimer's disease or Parkinson's disease).

Furthermore, since DNAm age allows one to contrast the ages of various tissues/cell types from the same individual, it can be used to identify diseased tissue (e.g. cancer tissue often shows evidence of severe positive or negative age acceleration). The biomarkers for aging can also be used for determining and decreasing an individual's likelihood of developing an age-related disease, e.g. cancer, dementia. Methods are provided for diagnosing and determining the existence or likelihood of cognitive deficits in the elderly resulting from senescence or age-related disease. Accordingly, such methods allow for the determination of patients who are most likely to be at risk of age-related cognitive decline and allow these patients to be targeted for more intensive study or prophylaxis.

In a further embodiment, the methods disclosed herein can be applied to assess the efficacy of a treatment or compound (e.g. rejuvenation or curing an age-related impairment, enhancing memory function or cognition). As an example, the biomarkers for aging can be used in studying patients who, although not elderly, are afflicted by a brain disease that typically occurs in the elderly (e.g. early onset dementia). A determination is made regarding whether administration of the treatment or compound affects the predicted age. An effective treatment would lower the predicted age since the individual appears rejuvenated and younger.

An assay is provided for identifying a compound that increases memory function and/or decreases a subject's likelihood of developing an age-related cognitive decline. The assay comprises identifying a compound which counters the age-related increase or decrease of methylation in the identified markers. Age prediction methodologies are also relevant to healthcare applications. For example, significant DNA methylation differences are known to be associated with specific age-related disorders, for example in comparisons between the brains of people diagnosed with late-onset Alzheimer's disease and brains from controls. In this context, the identification of specific loci highly correlated with age can be used to enhance the understanding of aging in health and disease. In certain embodiments of the invention, age prediction methodologies can be used as part of clinical interventions tailored for patients based on their “bio-age”—a result of the interaction of genes, environment, and time—rather than their chronological age. For example, if a person's predicted age is higher than their real age, specific interventions could be designed to return the genome to a “younger” state. Age prediction methodologies can also pave the way for interventions based on specific epigenetic marks associated with disease, as occurs in certain cancer treatments.

As described in detail in the Example section below, specific age-related methylation markers have been identified and validated using further assays and additional samples. Additionally, illustrative age prediction analysis models have been designed and tested, for example by using a leave-one-out analysis where one subject from a model is systematically removed and the model is used to predict the subject's age. Since the real age of this subject is already known, such methods provide ways to validate various model designs.

EXAMPLES

As shown in the illustrative examples below, the relationship between DNA methylation and age has been validated in 5 independent whole blood data sets, 3 brain methylation data sets and 2 saliva data sets. These findings are highly significant and have been carefully validated.

For Examples 1-4, publicly available data was used (see e.g. Gene Expression Omnibus database). Brain methylation data came from Gibbs J R et al. (2010) (Gibbs J R, van der Brug M P, Hernandez D G, Traynor B J, Nalls M A, et al. (2010) Abundant Quantitative Trait Loci Exist for DNA Methylation and Gene Expression in Human Brain. PLoS Genet 6(5): e1000952. doi:10.1371/journal.pgen.1000952). The authors obtained frozen brain tissue from frontal cortex (FCTX), pons (PONS) and temporal cortex (TCTX) from 150 subjects (total 450 tissue samples). Using the Illumina™ 27 k methylation array they assayed 27,578 CpG methylation sites in each of the brain regions. However, the authors did not study age effects. Further, they did not relate the brain methylation data to blood methylation data. The publicly available blood and saliva methylation used the same Illumina™ methylation array and are described in the following Table 1.

TABLE 1 Table 1. Description of public DNA methylation data sets used for the invention Set Sample Sample Mean Age Methylation GSE No size Tissue characteristics Age Range Assay Reference number 1 191 WB Type 1 diabetics 44 24-74 Infin 27k Teschendorff 2010 GSE20067 2 93 WB Healthy older women 63 49-74 Infin 27k Rakyan 2010 GSE20236 3 534 WB postmenopausal 66 49-91 Infin 27k Teschendorff 2010, GSE19711 women from the Song 2009 ovarian cancer UKOPS 4 133 FCTX FCTXbrain 48  15-101 Infin 27k Gibbs 2010 GSE15745 5 127 TCTX TCTXbrain 49  15-101 Infin 27k Gibbs 2010 GSE15745 6 125 PONS PONSbrain 47  15-101 Infin 27k Gibbs 2010 GSE15745 7 114 CRBLM CRBLM brain 48 16-96 Infin 27k Gibbs 2010 GSE15745 8 69 Saliva Saliva 35 21-55 Infin 27k Bockland 2011 GSE28746 9 168 cord blood newborns, cordblood 0 0-0 Infin 27k Adkins 2011 GSE27317 buffy coat 10 50 CD14+ CD4+ sorted CD4+ T-cells 36 16-69 Infin 27k Rakyan 2010 GSE20242 and CD14+ monocytes 11 185 Saliva Saliva from alcoholics 32 21-55 Infin 27k Liu 2010 GSE34035 (WB) Whole blood, FCTX (Frontal Cortex), TCTX (Temporal Cortex), CRBLM (Cerebellum), (NA) not available

For the identification of age-related methylation markers across multiple tissues, Stouffer's meta-analysis Z statistic (implemented in the metaAnalysis R function in the Weighted correlation network analysis (WGCNA) R package) was used to identify methylation markers that consistently relate to age across all data sets (see Table 2).

TABLE 2 Table: P-values from a meta analysis relating age to methylation levels across multiple tissues. Gene Sym Probe ID pValueAllTissues pValueBood pValueBrain pValueSaliva cor with age SOGN cg06493994 2.05E−119 3.72E−23 2.33E−121 1.64E−18 0.76 EDARADD cg09809672 2.69E−87  3.18E−39 1.52E−40  3.50E−28 −0.47 GREM1 cg21296230 4.16E−105 4.78E−22 1.71E−108 7.27E−16 0.71 NHLRC1 cg22736354 8.13E−146 3.52E−27 8.51E−165 6.50E−11 0.80

Example 1 Linear Regression Predictor Involving Only 1 Methylation Marker Accurately Predicts Age in Blood, Brain and Saliva

A univariate linear regression predictor based on a single methylation probe was examined. A single methylation probe corresponding to Illumina™ probe ID cg22736354 (SEQ ID NO: 158) (close to gene NHLRC1) was used in the univariate linear regression model. As shown in FIGS. 1-3, using a single cytosine marker in gene NHLRC1, the linear regression model-based prediction of age was found to correlate with the true age in brain tissue (correlation coefficient=0.88, p-value=6.8×E-126) and blood tissue (cor=0.76,p=3.6E-174). In particular, Probe ID: cg22736354 (SEQ ID NO: 158), located near the gene with gene symbol NHLRC1, had a highly significant positive correlation with age in the considered brain regions and in blood.

Example 2 A Multivariate Regression Predictor Involving 2 Methylation Markers Accurately Predicts Age in Blood, Brain and Saliva

A multivariate regression predictor based on two methylation probes was examined. Methylation probes corresponding to Illumina™ probe IDs cg09809672 (SEQ ID NO: 252, close to gene EDARADD) and cg22736354 (SEQ ID NO: 158, close to gene NHLRC1) were used in the multivariate linear regression model. As shown in FIGS. 4-7, using just the two cytosines near genes NHLRC1 and EDARADD, the multivariate linear regression model based prediction of age had a correlation larger than 0.90 with age in blood and brain tissue and it also correlated highly with age in saliva tissue. The median absolute difference (deviation) between predicted age and true age was 5.1 years. In particular, Probe ID: cg09809672 (SEQ ID NO: 252), located near the gene with gene symbol EDARADD, had a negative correlation with age and Probe ID: cg22736354 (SEQ ID NO: 158), located near the gene with gene symbol NHLRC1, had a positive correlation with age.

Example 3 A Multivariate Regression Predictor Involving 4 Methylation Markers Accurately Predicts Age in Blood, Brain and Saliva

A multivariate regression predictor based on four methylation probes was examined. Methylation probes corresponding to Illumina™ probe IDs cg09809672 (SEQ ID NO: 252, close to gene EDARADD), cg22736354 (SEQ ID NO: 158, close to gene NHLRC1), cg21296230 (SEQ ID NO: 354, close to gene GREM1), and cg06493994 (SEQ ID NO: 46, close to gene SCGN) were used in the multivariate linear regression model. As shown in FIGS. 8-11, using the four cytosines near genes EDARADD, NHLRC1, GREM1, SCGN, the multivariate linear regression model based prediction of age had a correlation larger than 0.90 with age in blood and brain tissue and that correlate with age in saliva tissue. The median absolute difference (deviation) between predicted age and true age was around 5.1 years. In particular, probe ID: cg09809672 (SEQ ID NO: 252), located near the gene with gene symbol EDARADD, had a negative correlation with age and Probe IDs: cg22736354 (SEQ ID NO: 158), cg21296230 (SEQ ID NO: 354), and cg06493994 (SEQ ID NO: 46), located near the genes with gene symbols NHLRC1, GREM1, and SCGN, respectively, had a positive correlation with age.

Example 4 Two Saliva Based Methylation Markers can be Used to Predict the Age of Brain Tissue

Methylation markers near the gene EDARADD (e.g. methylation probe cg09809672, SEQ ID NO: 252) and gene SCGN (e.g. probe cg06493994, SEQ ID NO: 46) were used in predicting brain age. As shown in FIGS. 12-15, the predicted age in brain tissue had a correlation of 0.4 with the true age (median deviation=8.2 years). In saliva, the correlation was 0.72 and median deviation was only 4.2 years. In blood tissue, the correlation was 0.88 and median deviation was 6.1 years. Thus, the predictor is particularly well suited for predicting brain age based on saliva samples. Probe ID: cg09809672 (SEQ ID NO: 252), located near the gene with gene symbol EDARADD, had a negative correlation with age and Probe ID: cg06493994 (SEQ ID NO: 46), located near the gene with gene symbol SCGN (also known as SEGN; SECRET; setagin; DJ501N12.8) had a positive correlation with age.

Example 5 DNA Methylation Age of Human Tissues and Cell Types

A collection of publicly available DNA methylation data sets is used for defining and evaluating an age predictor. The demonstrated accuracy across most tissues and cell types justifies its designation as a multi-tissue age predictor. Its age prediction, referred to as DNAm age, can be used as biomarker for addressing a host of questions arising in aging research and related fields. For example, interventions used for creating induced pluripotent stem cells are shown to reset the epigenetic clock to zero.

Using 82 Illumina™ DNA methylation array data sets (n=7844) involving 51 healthy tissues and cell types, a multi-tissue predictor of age is provided which allows one to estimate the DNA methylation (DNAm) age of most tissues and cell types. DNAm age has the following properties: a) it is close to zero for embryonic and induced pluripotent stem (iPS) cells, b) it correlates with cell passage number, c) it gives rise to a highly heritable measure of age acceleration, and d) it is applicable to chimpanzee tissues. 354 clock CpGs were characterized in terms of chromatin states and tissue variance (Table 3). The application of DNAm age to 32 additional cancer DNA methylation data sets (comprised of n=5826 samples) shows that all cancer tissues exhibit significant age acceleration (on average 36.2 years). Low age acceleration of cancer tissue is associated with a high number of somatic mutations and TP53 mutations. Mutations in steroid receptors greatly accelerate DNAm age in breast cancer. The multi-tissue predictor of age has been applied to colorectal cancer, glioblastoma multiforme, AML, and cancer cell lines.

Description of the (Non-Cancer) DNA Methylation Data Sets

A large DNA methylation data set was assembled by combining publicly available individual data sets measured on the Illumina™ 27K or Illumina™ 450K array platform (Cancer Genome Atlas (TCGA) data sets). In total, n=7844 non-cancer samples from 82 individual data sets were analyzed, which assess DNA methylation levels in 51 different tissues and cell types. Although many data sets were collected for studying certain diseases (Example 8), they largely involved healthy tissues. In particular, cancer tissues were excluded from this first large data set since it is well known that cancer has a profound effect on DNA methylation levels [6, 7, 24-26]. The Cancer Genome Atlas (TCGA) data sets involved normal adjacent tissue from cancer patients. Details on the individual data sets and data pre-processing steps are provided in Example 7 (Materials and methods) and Example 8. The first 39 data sets were used to construct (“train”) the age predictor. Data sets 40-71 were used to test (validate) the age predictor. Data sets 72-82 served other purposes e.g. to estimate the DNAm age of embryonic stem and iPS cells. The criteria used for selecting the training sets are described in Example 8. Briefly, the training data were chosen i) to represent a wide spectrum of tissues/cell types, ii) to involve samples whose mean age (43 years) is similar to that in the test data, and iii) to involve a high proportion of samples (37%) measured on the Illumina™ 450K platform since many on-going studies use this recent Illumina™ platform. 21369 CpGs (measured with the Infinium type II assay), which were present on both Illumina™ platforms (Infinium 450K and 27K), were studied. There were fewer than 10 missing values across the data sets.

The Multi-Tissue Age Predictor Used for Defining DNAm Age

To ensure an unbiased validation in the test data, only the training data was used to define the age predictor. As detailed in Example 7 (Materials and methods) and Example 8, a transformed version of chronological age was regressed on the CpGs using a penalized regression model (elastic net). The elastic net regression model automatically selected 354 CpGs (Table 3, Example 9). Since their weighted average (formed by the regression coefficients) amounts to an epigenetic molecular clock, the 354 CpGs are referred to as clock CpGs.

Predictive Accuracy Across Different Tissues

Several measures of predictive accuracy were initially considered since each measure has distinct advantages. The first, referred to as “age correlation”, is the Pearson correlation coefficient between DNAm age (predicted age) and chronological age. It has the following limitations: it cannot be used for studying whether DNAm is well calibrated, it cannot be calculated in data sets whose subjects have the same chronological age (e.g. cord blood samples from newborns), and it strongly depends on the standard deviation of age (as described below). The second accuracy measure, referred to as (median) “error”, is the median absolute difference between DNAm age and chronological age. Thus, a test set error of 3.6 years indicates that DNAm age differs by less than 3.6 years in 50% of subjects. The error is well suited for studying whether DNAm age is poorly calibrated. Average age acceleration, defined by the average difference between DNAm age and chronological age, can be used to determine whether the DNAm age of a given tissue is consistently higher (or lower) than expected.

According to these three accuracy measures, the multi-tissue age predictor has been found to perform remarkably well in most tissues and cell types. A high accuracy in the training data (age correlation 0.97, error=2.9 years) was demonstrated in exemplary experiments and its performance assessment (age correlation=0.96, error=3.6 years, FIG. 17) in the test data is notably unbiased. Note that the age predictor performs well in heterogeneous tissues (e.g. whole blood, blood peripheral blood mononuclear cells, cerebellar samples, occipital cortex, buccal epithelium, colon, adipose, liver, lung, saliva, uterine cervix) as well as in individual cell types such as CD4 T cells and CD14 monocytes (FIG. 17C) and immortalized B cells (FIG. 17T).

The age predictor is particularly accurate in data sets comprised of adolescents and children, e.g. blood (FIG. 17B), brain data (FIG. 17F,G), and buccal epithelium (FIG. 17I).

The DNAm Age of Blood and Brain Cells

Human blood cells have different life spans: while CD14+ monocytes (myeloid lineage) only live several weeks, CD4+ T-cells (lymphoid lineage) represent a variety of cell types that can live from months to years. An interesting question is whether blood cell types have different DNAm ages. In one experiment, it was found that DNAm age does not vary significantly across sorted blood cells from healthy male subjects. These results combined with the fact that the age predictor works well in individual cell types (FIG. 17) strongly suggest that DNAm age does not reflect changes in cell type composition but rather intrinsic changes in the methylome. This conclusion is also corroborated by the finding that DNAm age is highly related to chronological age in glial cells and neurons and various brain regions.

DNAm Age and Progeria

DNAm age can be used to study whether cells from patients with accelerated aging diseases such as progeria (including Werner progeroid syndrome, Hutchinson-Gilford progeria, HGP) truly look old at an epigenetic level. An exemplary experiment has demonstrated that progeria disease status is not related to DNAm based age acceleration in Epstein-Barr-Virus transformed B cells (FIG. 17T). But the study of accelerated aging effects in HGP should be repeated for vascular smooth muscle, the tissue that is most compromised in HGP.

Tissues where DNAm Age is Less Accurately Calibrated

In certain experiments, DNAm age was found to be less accurately calibrated (i.e. leads to a higher error) in breast tissue (FIG. 17H), uterine endometrium (FIG. 17S), dermal fibroblasts, skeletal muscle tissue (FIG. 17P), and heart tissue (FIG. 17L). The biological reasons that could explain the less accurate calibration can only be speculated. It may be possible that the higher error in breast tissue may reflect hormonal effects or cancer field effects in this normal adjacent tissue from cancer samples. Note that the lowest error (7.5 years) in breast tissue is observed in normal breast tissue, i.e. in samples from women without cancer. The menstrual cycle and concomitant increases in cell proliferation may explain the high error in uterine endometrium. Myosatellite cells may effectively rejuvenate the DNAm age of skeletal muscle tissue. Similarly, the recruitment of stem cells into cardiomyocytes for new cardiac muscle formation could explain why human heart tissue tends to have a low DNAm age. Carefully designed studies will be needed to test these hypotheses.

The Age Correlation in a Data Set is Determined by the Standard Deviation of Age

In the following, non-biological reasons that affect the accuracy (age correlation) of the age predictor are described. To address how well the age predictor works in individual data sets, two different approaches were used. First, the age predictor was applied to individual data sets. An obvious limitation of this approach is that it leads to biased results in the training data sets.

The second approach, referred to as leave-one-data-set-out cross validation (LOOCV) analysis, leads to unbiased estimates of the predictive accuracy for each data set. As suggested by its name, this approach estimates the DNAm age for each data set (considered as test data set) separately by fitting a separate multi-tissue age predictor to the remaining (left out) data sets.

Data sets differ greatly with respect to the median chronological age and the standard deviation (SD), which is defined as the square root of the variance of age. Some data sets only involve samples with the same age (SD=0) while others involve both young and old subjects. As expected, the SD is found to be significantly correlated (r=0.49, p=4E-5) with the corresponding LOOCV estimate of the age correlation. In contrast, the sample size of the data set has no significant relationship with the age correlation.

A host of technical artefacts could explain differences in predictive accuracy (e.g. variations in sample processing, DNA extraction, DNA storage effects, batch effects, and chip effects.

DNAm Age of Multiple Tissues from the Same Subject

The following addresses whether solid tissues can be found whose DNAm age differs substantially from chronological age. As a first step, the mean DNAm age per tissue is compared with the corresponding mean chronological age. As expected, mean DNAm age per tissue is highly correlated (cor=0.99) with mean chronological age. But breast tissue shows evidence of significant age acceleration.

A more interesting analysis is to compare the DNAm ages of tissues collected from the same subjects. DNAm age does not change significantly across different brain regions (temporal cortex, pons, frontal cortex, cerebellum) from the same subjects. Although the limited sample sizes per tissue (mostly one sample per tissue per subject) in this illustrative experiment did not allow for rigorous testing, these data can be used to estimate the coefficient of variation of DNAm age (i.e. the standard deviation divided by the mean). Note that the coefficient of variations for the first and second adult male are relatively low (0.12 and 0.15) even though the analysis involved several tissues that were not part of the training data, e.g. jejunum, penis, pancreas, esophagus, spleen, pancreas, lymph node, diaphragm. The coefficient of variation in the adult female is relatively high (0.21) which reflects the fact that her breast tissue shows signs of substantial age acceleration.

It remains to be seen how well DNAm age performs in tissues and DNA sources that were not represented in the training data set. It is anticipated that it also performs well in several other human tissues. As expected, no significant age correlation was found in sperm. The DNAm age of sperm is significantly lower than the chronological age of the donor.

DNAm Age is Applicable to Chimpanzees

It is important to study whether there are inter-primate differences when it comes to DNAm age. These studies may not only help in identifying model organisms for rejuvenating interventions but might explain differences in primate longevity. While future studies could account for sequence differences, it is straightforward to apply the DNAm age estimation algorithm to Illumina™ DNA methylation data sets 72 [27] and 73 [28]. Strikingly, the DNAm age of heart-, liver-, and kidney tissue from chimpanzees (Pan troglodytes) is aligned with that of the corresponding human tissues. Further, the DNAm age of blood samples from two extant hominid species of the genus pan (commonly referred to as chimpanzee) is highly correlated with chronological age. While DNAm age is applicable to chimpanzees, its performance appears to be diminished in gorillas, which may reflect the larger evolutionary distance.

DNAm Age of Induced Pluripotent Stem (iPS) Cells and Stem Cells

The billions of cells within an individual can be organized by genealogy into a single somatic cell tree that starts from the zygote and ends with differentiated cells. Cells at the root of this tree should be young. This is indeed the case: embryonic stem cells have a DNAm age close to zero in 5 different data sets. Induced pluripotent stem (iPS) cells are a type of pluripotent stem cell artificially derived from a non-pluripotent cell (typically an adult somatic cell) by inducing a set of specific genes. Since iPS cells are similar to ES cells, it is hypothesized that the DNAm age of iPS cells should be significantly younger than that of corresponding primary cells. This hypothesis is confirmed in three independent data sets. No significant difference in DNAm age could be detected between embryonic stem (ES) cells and iPS cells.

Effect of Cell Passaging on DNAm Age

Most cells lose their proliferation and differentiation potential after a limited number of cell divisions (Hayflick limit). It is hypothesized that cell passaging (also known as splitting cells) increases DNAm age. This hypothesis is confirmed in three independent data sets. A significant correlation between cell passage number and DNAm age can be also observed when restricting the analysis to iPS cells or when restricting the analysis to embryonic stem cells.

Comparing the Multi-Tissue Predictor with Other Age Predictors

The multi-tissue predictor disclosed greatly outperforms existing predictors described in other articles [21, 23]. See Example 8 for a comparison of the multi-tissue predictor versus existing predictors. While further gains in accuracy can perhaps be achieved by focusing on a single tissue and considering more CpGs, the major strength of the multi-tissue age predictor lies in its wide applicability: for most tissues it will not require any adjustments or offsets. A “shrunken” version of the multi-tissue predictor (Examples 8 and 9), based on 110 CpGs (selected from the 354 clock CpGs) has also been found to be highly accurate in the training data (cor=0.95, error=4 years) and test data (cor=0.95, error=4.2 years).

What is Known about the 354 Clock CpGs?

An Ingenuity Pathway analysis of the genes that co-locate with the 354 clock CpGs (Table 3) shows significant enrichment for cell death/survival, cellular growth/proliferation, organismal/tissue development, and cancer.

The 354 clock CpGs can be divided into two sets according to their correlation with age. The 193 positively and 160 negatively correlated CpGs get hypermethylated and hypomethylated with age, respectively. DNA methylation data measured across many different adult and fetal tissues is used to study the relationship between tissue variance and age effects. While the DNA methylation levels of the 193 positively related CpGs vary less across different tissues, those of the 160 negatively related CpGs vary more across tissues than the remaining CpGs on the Illumina™ 27K array. To estimate “pure” age effects, a meta-analysis method was used that implicitly conditions on data set, i.e. it removes the confounding effects due to data set and tissue type. The clock CpGs include those with the most significant meta-analysis p-value for age irrespective of whether the meta-analysis p-value was calculated using only training data sets or all data sets. While positively related markers don't show a significant relationship with CpG island status, negatively related markers tend to be over-represented in CpG shores (p=9.3E-6).

Significant differences between positive and negative markers exist when it comes to Polycomb-group protein binding: positively related CpGs are over-represented near Polycomb-group target genes (reflecting results from [10, 14]) while negative CpGs show no significant relationship.

Chromatin State Analysis

Chromatin state profiling has emerged as a powerful means of genome annotation and detection of regulatory activity. It provides a systematic means of detecting cis-regulatory elements (given the central role of chromatin in mediating regulatory signals and controlling DNA access) and can be used for characterizing non-coding portions of the genome, which contribute to cellular phenotypes [29]. While individual histone modifications are associated with regulator binding, transcriptional initiation, enhancer activity, combinations of chromatin modifications can provide even more precise insight into chromatin state [29]. Ernst et al (2011) distinguish six broad classes of chromatin states, referred to as promoter, enhancer, insulator, transcribed, repressed, and inactive states. Within them, active, weak and poised promoters (states 1-3) differ in expression levels, while strong and weak enhancers (states 4-7) differ in expression of proximal genes. The 193 positively related CpGs are more likely to be in poised promoters (chromatin state 3 regions) while the 160 negatively related CpGs are more likely to be either in weak promoters (chromatin state 2) or strong enhancers (chromatin state 4).

Age Acceleration is Highly Heritable

Several authors have found that DNA methylation levels are under genetic control [24, 26, 30-32]. Since many age-related diseases are heritable, it is interesting to study to whether age acceleration (here defined as difference between DNAm age and chronological age) is heritable as well. The broad sense heritability of age acceleration is estimated using Falconer's formula, H²=2(cor(MZ)-cor(DZ)), in two twin data sets that included both monozygotic (MZ) and dizygotic (DZ) twins.

An illustrative experiment estimating the heritability of age acceleration found that the broad sense heritability of age acceleration was 100% in newborns and 39% in older subjects, which suggests that non-genetic factors become more relevant later in life.

Aging Effects on Gene Expression (Messenger RNA) Levels

Since DNA methylation is an important epigenetic mechanism for regulating gene expression levels (messenger RNA abundance), it is natural to wonder how age-related DNAm changes relate to those observed in gene expression levels. It has been found that there is very little overlap. Further, age effects on DNAm levels have not been found to affect genes known to be differentially expressed between naive CD8 T cells and CD8 memory cells. These non-significant results reflect the fact that the relationship between DNAm levels and expression levels is complex [33, 34].

Age Effects on Individual CpGs

In this example, for each CpG, the median DNAm level in subjects younger than 35 and in subjects older than 55 is examined (Example 9). The age-related change in beta values is typically small (the average absolute difference across the 354 CpGs is only 0.032). The weak age effect on individual clock CpGs can also be observed in a heat map that visualizes how the DNAm levels change across subjects. Few vertical bands in the heat map suggest that the clock CpGs are relatively robust against tissue and data set effects.

The Changing Ticking Rate of the Epigenetic Clock

The linear combination of the 354 clock CpGs (resulting from the regression coefficients) varies greatly across ages. There is a logarithmic dependence until adulthood which slows to a linear dependence later in life (see formula in Example 8). The rate of change is interpreted as the ticking rate of the epigenetic clock. Using this terminology, it has been found that organismal growth (and concomitant cell division) leads to a high ticking rate which slows down to a constant ticking rate (linear dependence) after adulthood.

DNAm Age does not Measure Mitotic Age or Cellular Senescence

Since epigenetic somatic errors in somatic replications appear to be readily detected as age-related changes in methylation [35, 36], it is a plausible hypothesis that DNAm age measures the number of somatic cell replications. In other words, that it measures mitotic age (which assigns a cell copy number to every cell) [35, 37]. While DNAm age is correlated with cell passage number and the clock ticking rate is highest during organismal growth, it is clearly different from mitotic age since it tracks chronological age in non-proliferative tissue (e.g. brain tissue) and assigns similar ages to both short and long lived blood cells.

One explanation is that DNAm age is a marker of cellular senescence. This turns out to be wrong as can be seen from the fact that DNAm age is highly related to chronological age in immortal, non-senescent cells, e.g. immortalized B cells (FIG. 17T). Further, DNAm age and cell passage number are highly correlated in ES cells which are also immortal [38].

Example 6 Model: DNAm Age Measures the Work Done by an Epigenetic Maintenance System

It is proposed that DNAm age measures the cumulative work done by a particular kind of epigenetic maintenance system (EMS), which helps maintain epigenetic stability. While epigenetic stability is related to genomic stability, it is useful to distinguish these two concepts. If the EMS model of DNAm age is correct then this particular kind of EMS appears to be inactive in the perfectly young ES cells. Maintenance methyltransferases are likely to play an important role. In physics, “work” is defined by the integral of power over time. Using this terminology, it is hypothesized that the power (defined as rate of change of the energy spent by this EMS) corresponds to the tick rate of the epigenetic clock. This model would explain the high tick rate during organismal development since a high power is required to maintain epigenetic stability during this stressful time. At the end of development, a constant amount of power is sufficient to maintain stability leading to a constant tick rate.

If this EMS model of DNAm age is correct then DNAm age should be accelerated by many perturbations that affect epigenetic stability. Further, age acceleration should have some beneficial effects given the protective role of the EMS. In particular, the EMS model of DNAm age entails the following testable predictions. First, cancer tissue should show signs of positive or negative accelerated age, reflecting the actions of the EMS. Second, many mitogens, genomic aberrations, and oncogenes, which trigger the response of the EMS, should be associated with accelerated DNAm age. Third, high age acceleration of cancer tissue should be associated with fewer somatic mutations given the protective role of the EMS. Fourth, mutations in TP53 should be associated with a lower age acceleration of cancer tissue if one further assumes that p53 signaling helps trigger the EMS. All of these model predictions turn out to be true as will be shown in the following cancer applications.

DNAm Age of Cancer Tissue Versus Tumor Morphology

A large collection of cancer data sets was assembled comprising n=5826 cancer samples from 32 individual cancer data sets (Example 10). Details on the cancer data sets can be found in Example 8. While some cancer tissues show relatively large correlations between DNAm age and patient age, the correlation between DNAm age and chronological age tends to be weak. Some cancer types exhibit increased age acceleration while others exhibit negative age acceleration. Tumor morphology (grade and stage) has only a weak relationship with age acceleration in most cancers: only 4 out of 33 hypothesis tests led to a nominally (p<0.05) significant result. Only the negative correlation between stage and age acceleration in thyroid cancer remains significant after applying a Bonferroni correction.

Cancer Tissues with High Age Acceleration Exhibit Fewer Somatic Mutations

Strikingly, the number of mutations per cancer sample tends to be inversely correlated with age acceleration, which may reflect that DNAm age acceleration results from processes that promote genome stability. Specifically, a significant negative relationship between age acceleration and the number of somatic mutations can be observed in the following seven affected tissues/cancers: bone marrow (AML data from TCGA), breast carcinoma (BRCA data), kidney renal cell carcinoma (KIRC), kidney renal papillary cell carcinoma (KIRP), ovarian cancer (OVAR), prostate (PRAD), and thyroid (THCA). Similar results can also be observed in several breast cancer types.

TP53 Mutations are Associated with Lower Age Acceleration

Strikingly, TP53 was among the top 2 most significant genes in 4 out of the 13 cancer data sets whose mutation has the strongest effect on age acceleration. Further, TP53 mutation is associated with significantly lower age acceleration in five different cancer types including AML, breast cancer, ovarian cancer, and uterine corpus endometrioid. Further, marginally significant result can be observed in lung squamous cell carcinoma and colorectal cancer (below). Only one cancer type (GBM) was found where mutations in TP53 are associated with a nominally significant increased age acceleration. Overall, these results suggest that p53 signaling can trigger processes that accelerate DNAm age.

Somatic Mutations in Steroid Receptors Accelerate DNAm Age in Breast Cancer

In the following, DNAm age changes across different breast cancer types are shown. Somatic mutations in steroid receptors have a pronounced effect on DNAm age in breast cancer samples: samples with a mutated estrogen receptor (ER) or mutated progesterone receptor (PR) exhibit a much higher age acceleration than ER- or PR-samples in four independent data sets. In contrast, HER2/neu amplification has no significant relationship with age acceleration. Age acceleration differs greatly across different breast cancer types: Luminal A tumors (typically ER+ or PR+, HER2−, low Ki67), show the highest positive age acceleration. Luminal B tumors (typically ER+ or PR+, HER2+ or HER2− with high Ki67) show a similar effect. The lowest age acceleration can be observed for basal-like tumors (often triple negative ER−, PR−, HER2−) and HER2 type tumors (typically HER2+, ER−, PR−).

Proto-Oncogenes Affect DNAm Age in Colorectal Cancer

Colorectal cancer samples with a BRAF (V600E) mutation are associated with an increased age acceleration whereas samples with a K-RAS mutation have a decreased age acceleration. Echoing previous results, TP53 mutations appear to be associated with decreased age acceleration. Promoter hypermethylation of the mismatch repair gene MLH1 leads to the most significant increase in age acceleration, which supports the EMS model of DNAm age. The CpG island methylator phenotype, defined by exceptionally high cancer-specific DNA hypermethylation [39], is also significantly associated with age acceleration, which may reflect its association with MLH1 hypermethylation and BRAF mutations.

DNAm Age in Glioblastoma Multiforme (GBM)

In general, the CpG island methylator phenotype and age acceleration measure different properties as can be seen in glioblastoma multiforme.

Interestingly, age acceleration in GBM samples is highly significantly associated with certain mutations in H3F3A, which encodes the replication-independent histone variant H3.3. These mutations are single-nucleotide variants (SNV) changing lysine 27 to methionine (K27M) or changing glycine 34 to arginine (G34R) [40]. The fact that GBMs with a G34R mutation in H3F3A have a much higher age acceleration than those with a K27M mutation makes sense since each H3F3A mutation defines an epigenetic subgroup of GBM with a distinct global methylation pattern and acts through a different set of genes [40]. Lysine 27 is a critical residue of histone 3 variants, and methylation at this position (H3K27me), which may be mimicked by the terminal CH3 of methionine substituted at this residue [40], is commonly associated with transcriptional repression [41] while H3K36 methylation or acetylation typically promotes gene transcription [42]. G34-mutant cells exhibit increased RNA polymerase II binding, increased gene expression, most notably that of the oncogene MYCN [43]. Both H3F3A mutations are mutually exclusive with IDH1 mutations, which characterize a third mutation-defined subgroup [44]. Age acceleration in GBM samples is also associated with the following genomic aberrations: TP53 mutation, ATRX mutation, chromosome 7 gain, chromosome 10 loss, CDKN2A del, and EGFR amplification. Reflecting these results for individual markers, age acceleration varies significantly across the GBM subtypes defined in [44].

DNAm Age of Cancer Cell Lines.

Using seven publicly available cell line data sets (Example 10), the DNAm age of 59 different cancer cell lines (from bladder, breast, gliomas, head/neck, leukemia, and osteosarcoma) was estimated. Across all cell lines, it was found that DNAm age does not have a significant correlation with the chronological age of the patient from whom the cancer cell line was derived. However, a marginally significant age correlation can be observed across osteosarcoma cell lines (cor=0.41, p=0.08). Overall, DNAm age acceleration varies greatly across the cancer lines (Example 11): the highest values can be observed for AML cell lines (KG1A: 182 years, HL-60: 177 years); the lowest values for head/neck squamous cell carcinoma cell line (UPCI SCC47: 6 years) and two breast cancer cell lines (SK-BR-3: 8 years, MDA-MB-468: 11 years).

Conclusions

Through the generosity of hundreds of researchers, an unprecedented collection of DNA methylation data from healthy tissues, cancer tissues, and cancer cell lines were analyzed. The healthy tissue data allowed for the development of a multi-tissue predictor of age (mathematical details are provided in Example 8). Relevant software can be accessed from [45]. A brief software tutorial is also presented in Example 8. The basic approach of the multi-tissue predictor of age is to form a weighted average of 354 clock CpGs (Table 3), which is then transformed to DNAm age using a calibration function. The calibration function reveals that the epigenetic clock has a high tick rate until adulthood after which it slows to a constant tick rate.

It is proposed that DNAm age measures the cumulative work done by an epigenetic maintenance system. This novel epigenetic clock can be used to address a host of questions in developmental biology, cancer-, and aging research. This EMS model of DNAm age leads to several testable model predictions which have been validated using cancer data. But irrespective of the validity of the EMS model, the findings in cancer are interesting in their own right. Overall, high age acceleration is associated with fewer somatic mutations in cancer tissue. Mutations in TP53 are associated with lower DNAm age. To provide a glimpse of how DNAm age can inform cancer research, DNAm age has been related to several widely used genomic aberrations in breast cancer, colorectal cancer, glioblastoma multiforme, and acute myeloid leukemia.

DNAm age is a promising marker for studying human development, aging, and cancer. It may become a useful surrogate marker for evaluating rejuvenation therapies. The most salient feature of DNAm age is its applicability to a broad spectrum of tissues and cell types. Since it allows one to contrast the ages of different tissues from the same subject, it can be used to identify tissues that show evidence of accelerated age due to disease (e.g. cancer). It is likely that the DNAm age of easily accessible fluids/tissues (e.g. saliva, buccal cells, blood, skin) can serve as surrogate marker for inaccessible tissues (e.g. brain, kidney, liver). It is noteworthy that DNAm age is applicable to chimpanzee tissues. Given the high heritability of age acceleration in young subjects, it is expected that age acceleration will mainly be a relevant measure in older subjects. Using a relatively small data set, no evidence was found that a premature aging disease (progeria) is associated with accelerated DNAm age (FIG. 17T). Example 8, further describes if DNAm age fulfills the biomarker criteria developed by the American Federation for Aging Research.

Future research will need to clarify whether DNAm age is only a marker of aging or relates to an effector of aging. In conclusion, the epigenetic clock described here is likely to become a valuable addition to the telomere clock.

Example 7 Materials and Methods Definition of DNAm Age Using a Penalized Regression Model

Using the training data sets, a penalized regression model (implemented in the R package glmnet [46]) is used to regress a log transformed version of chronological age on 21369 CpG probes which a) were present both on the Illumina™ 450K and 27K platform and b) had fewer than 10 missing values. The alpha parameter of glmnet was chosen to 0.5 (elastic net regression) and the lambda value was chosen using cross validation on the training data (lambda=0.0226). DNAm age was defined as predicted age. Mathematical details are provided in Example 8.

Short Description of the Healthy Tissue Data Sets

All data are publicly available. Many data sets involve normal adjacent tissue from The Cancer Genome Data Base (TCGA). Details on the individual data sets can be found in Example 8. Briefly, relevant citations include: Data sets 1 and 2 (whole blood samples from a Dutch population) were generated by Roel Ophoff [14]. Data set 3 (whole blood) consists of whole blood samples from a recent large scale study of healthy individuals [24]. The authors used these and other data to estimate human aging rates and developed a highly accurate predictor of age based on blood data. Data set 4 leukocyte samples from healthy male children from Children's Hospital Boston [47]. Data set 5 peripheral blood leukocytes samples [48]. Data set 6 cord blood samples from newborns [30]. Data set 7 cerebellum samples were provided by C. Liu and C. Chen (GEO identifier GSE38873). Data set 8, 9, 10, 13 cerebellum, frontal cortex, pons, temporal cortex samples obtained from the same subjects [49]. Data set 11 prefrontal cortex samples from healthy controls [22]. Data set 12 neuron and glial cell samples from [50]). Data set 14 normal breast tissue samples [51]. Data set 15 buccal cells involved 109 fifteen-year-old adolescents from a longitudinal study of child development [52]. Data set 16 buccal cells from 8 different subjects [15]). Data set 17 buccal cells from monozygotic (MZ) and dizygotic (DZ) twin pairs from the Peri/postnatal Epigenetic Twins Study (PETS) cohort [53]. Data set 18 cartilage (chondrocyte) samples from [54]. Data set 19 normal adjacent colon tissue from TCGA. Data set 20 colon mucosa samples from [55]. Data set 21 dermal fibroblast samples from [21]. Data set 22 epidermis samples from [56]. Data set 23 gastric tissue samples from [57]. Data set 24 head/neck normal adjacent tissue samples from the TCGA data base (HNSC data). Data set 25 heart tissue samples from [58]. Data set 26 normal adjacent renal papillary tissue from TCGA (KIRP data). Data sets 27 normal adjacent tissue from TCGA (KIRC data). Data set 28 normal adjacent liver samples from [59]. Data set 29 normal adjacent lung tissue from TCGA data base (LUSC data). Data set 30 normal adjacent lung tissue samples from TCGA (LUAD data). Data set 31 from TCGA (LUSC). Data set 32 mesenchymal stromal cells isolated from bone marrow [60]. Data set 33 placenta samples from mothers of monozygotic and dizygotic twins [61]. Data set 34 prostate samples from [62]. Data set 35 normal adjacent prostate tissue from TCGA (PRAD data). Data set 36 male saliva samples from [63]. Data set 37 male saliva samples from [23]. Data set 38 stomach from TCGA (STAD data). Data set 39 thyroid TCGA (THCA data). Data set 40 WB from type 1 diabetics from [10, 64]. Data set 41 WB from [15]. Data sets 42 and 43 involve whole blood samples from women with ovarian cancer and healthy controls, respectively. These are the samples from the United Kingdom Ovarian Cancer Population Study [10, 64]. Data set 44 WB from [65]. Data set 45 leukocytes from healthy children of the Simons Simple Collection [47]. Data set 46 peripheral blood mononuclear cells from [66]. Data set 47 peripheral blood mononuclear cells from [67]. Data set 48 cord blood samples from newborns provided by N Turan and C Sapienza (GEO GSE36812). Data set 49 cord blood mononuclear cells from [68]. Data set 50 cord blood mononuclear cells from [61]. Data set 51 CD4 T cells from infants [69]. Data set 52 CD4+ T cells and CD14+ monocytes from [15]. Data set 53 immortalized B cells and other cells from progeria, Werner syndrome patients, and controls [70]. Data set 54 and 55 are brain samples from [71]. Data set 56 and 57 breast tissue from TCGA (27K and 450K platform, respectively). Data set 58 buccal cells from [72]. Data set 59 colon from TCGA (COAD data). Data set 60 fat (adipose) tissue from [73]. Data set 61 human heart tissue from [27]. Data set 62 kidney (normal adjacent) tissue from TCGA (KIRC). Data set 63 liver (normal adjacent tissue) from TCGA data base (LIHC data). Data set 64 lung from TCGA. Data set 65 muscle tissue from [73]. Data set 66 muscle tissue from [74]. Data set 67 placenta samples from [75]. Data set 68 female saliva samples [63]. Data set 69 uterine cervix samples from [51, 76]. Data set 70 uterine endometrium (normal adjacent) tissue from TCGA (UCEC data). Data set 71 various human tissues from the ENCODE/HAIB Project (GEO GSE40700). Data set 72 chimpanzees and human tissues from [27]. Data set 73 great ape blood samples from [28]. Data set 74 sperm samples from [77]. Data set 75 sperm samples from [78]. Data set 76 vascular endothelial cells from human umbilical cords from [61]. Data sets 77 and 78 (special cell types) involved human embryonic stem cells, iPS cells, and somatic cell samples measured on the Illumina™ 27K array and Illumina™ 450K array, respectively [79]. Data set 79 reprogrammed mesenchymal stromal cells from human bone marrow (iP-MSC), initial MSC, and embryonic stem cells [80]. Data set 80 human ES cells and normal primary tissue from [81]. Data set 81 human ES cells from [82]. Data set 82 blood cell type data from [83].

Description of the Cancer Data Sets

All data are publicly available as can be seen from the column that reports GSE identifiers from the Gene Expression Omnibus (GEO) database and other online resources. Most cancer data sets came from the TCGA data base. Data set 3 glioblastoma multiforme from [44]. Data set 4 breast cancer from [84]. Data set 5 breast cancer from [85]. Data set 6 breast cancer from [51]. Data set 10 colorectal cancer from [39]. Data set 23 prostate cancer from [62]. Data set 30 urothelial carcinoma from [86]. More details of the cancer tissue and cancer cell line data sets can be found in Examples 8 and 10.

DNA Methylation Profiling and Normalization Steps

All of the public Illumina™ DNA data were generated by following the standard protocol of Illumina™ methylation assays, which quantifies DNA methylation levels by the β value. A detailed description of the pre-processing and data normalization steps is provided in Example 8.

Meta Analysis for Measuring Pure Age Effects (Irrespective of Tissue Type)

The metaAnalysis R function in the WGCNA R package [87] is used to measure pure age effects as detailed in Example 8.

Analysis of Variance for Measuring Tissue Variation

To measure tissue effects in the training data, analysis of variance (ANOVA) is used to calculate an F statistic as follows. First, a multivariate regression model was used to regress each CpG (dependent variable) on age and tissue type. The analysis adjusted for age since the different data sets have very different mean ages. Next, ANOVA based on the multivariate regression model was used to calculate an F statistic, F.tissueTraining, for measuring the tissue effect in the training data. This F statistic measures the tissue effect after adjusting for age in the training data sets. The F statistic was not translated into a corresponding p-value since the latter turned out to be extremely significant for most CpGs. F.tissueTraining is shown to be highly correlated with an independent measure of tissue variance (defined using adult somatic tissues from data set 77).

Characterizing the CpGs Using Sequence Properties

Occupancy counts for Polycomb-group target (PCGT) genes was studied since they have an increased chance of becoming methylated with age compared to non-targets [10]. Toward this end, the occupancy counts of Suz12, Eed, and H3K27me3 published in [88] were used. To obtain the protein binding site occupancy throughout the entire nonrepeat portion of the human genome, Lee et al. 2006 isolated DNA sequences bound to a particular protein of interest (for example, Polycomb-group protein SUZ12) by immunoprecipitating that protein (chromatin immunoprecipitation) and subsequently hybridizing the resulting fragments to a DNA microarray. More details on the chromatin state data from [29] can be found in Example 8.

Abbreviations

AML—acute myeloid leukemia (AML), BLCA—bladder urothelial carcinoma, CBMC—cord blood mononuclear cell CESC—cervical squamous cell carcinoma and endocervical adenocarcinoma COAD—colon adenocarcinoma CpG: Cytosine phospate Guanin ES—embryonic stem EMS—epigenetic maintenance system GBM—glioblastoma multiforme GEO—Gene Expression Omnibus data base HNSC—head/neck squamous cell carcinoma HUVEC cell—human umbilical vascular endothelial cells iPS—induced pluripotent cell KIRC—kidney renal clear cell carcinoma KIRP—kidney renal papillary cell carcinoma LIHC—liver hepatocellular carcinoma LOO—leave one data set out MSC—mesenchymal stromal cell OVAR—ovarian serous cystadenocarcinoma PBMC—peripheral blood mononuclear cell PRAD—prostate adenocarcinoma READ—rectum adenocarcinoma SARC—sarcoma

TCGA—The Cancer Genome Atlas

THCA—thyroid carcinoma SCM—skin cutaneous melanoma UCEC—uterine corpus endometrioid carcinoma WB—whole blood

Example 8 Materials and Methods Supplement

(Note: This example references an additional number of different publications as indicated throughout by reference numbers enclosed in braces, e.g., {x}. A list of these different publications ordered according to these reference numbers can be found in the section below entitled “Example 8 References”.)

The following reasons may explain the remarkable accuracy of the age predictor in the test data sets. First, measurements from Illumina™ DNA methylation arrays (Methods) are known to be less affected by normalization issues than those from gene expression (mRNA) arrays and even non-normalized beta-values (Methods) turn out to be highly correlated with corresponding measures found using pyrosequencing {1-3}. Second, the penalized regression model automatically selected CpGs that are relatively robust since it was trained on data sets from different labs and platforms. Third, the large number of data sets helped average out spurious results and artifacts. Fourth, age has a profound effect on the DNAm levels of tens of thousands of CpGs as shown by many authors {4-13}.

The results of this article do not contradict previous studies that have noted age-related DNA methylation changes which occur in a tissue specific manner, e.g. {14, 15}. Instead, the results of this article demonstrate that one can use a couple of hundred CpGs for forming an age predictor that a) performs remarkably well across a broad spectrum of human tissues and b) the resulting DNAm age estimate is biologically meaningful.

Description of the Healthy Tissue and Cell Line Data Sets

Data sets 1 and 2 (whole blood samples from a Dutch population) are comprised of schizophrenics and healthy control subjects measured on the Illumina™ 27K and 450K array platform, respectively. These data from Dr. Roel Ophoffs lab were formerly used to find co-methylation modules related to age {13}. The current study has a different aim, namely the development of an age predictor based on methylation levels. Since schizophrenia status had a negligible effect on age relationships {13}, it was ignored in this analysis. Further, it turned out that schizophrenia status was not related to DNAm age. GEO identifier of the data is GSE41037.

Data set 3 (whole blood) consists of whole blood samples from a recent large scale study of healthy individuals {16}. The authors used these data (and additional data) to estimate human aging rates and developed a highly accurate predictor of age based on blood data.

Data set 4 (leukocytes from healthy male children from Children's Hospital Boston) consists of 72 peripheral blood leukocyte samples from healthy males (mean age 5, range 1-16) {17}.

Data set 5 (peripheral blood leukocytes) from a DNAm study of Crohn's disease and ulcerative colitis {18}. Illumina™ 450K were used on 48 samples of peripheral blood leukocyte (PBL) DNA from discordant MZ twin pairs (CD: 3; UC: 3) and treatment-naive pediatric cases of IBD (CD: 14; UC: 8), as well as controls (n=14). I ignored disease status in the analysis. I did not find significant evidence that disease status affects DNAm age in this moderately sized data set.

Data set 6 (cord blood from newborns) is comprised of cord blood samples from 216 subjects (of age zero) {19}.

Data set 7 (cerebellum) is comprised of postmortem cerebellum brains. The data were provided by C. Liu and C. Chen (GEO identifier GSE38873).

Data set 8, 9, 10, 13 (cerebellum, frontal cortex, pons, temporal cortex) consist of brain tissue samples obtained from the same subjects whose mean age was 49 (range 15-101) {20}. These subjects, who had donated their brains for research, were of non-Hispanic, Caucasian ethnicity, and none had a clinical history of neurological or cerebrovascular disease, or a diagnosis of cognitive impairment during life. Demographics, tissue source and cause of death for each subject are reported in {20}. Unbiased removal of potential outliers (as described in the section on sample pre-processing) reduced the number of retained samples.

Data set 11 (prefrontal cortex from healthy controls) consists of 108 samples (mean age 26, ranging from samples before birth up to age 84) {21}. These post-mortem human brains from non-psychiatric controls were collected at the Clinical Brain Disorders Branch (National Institute of Mental Health). The DNAm data are publicly available from the webpage of the standalone package BrainCloudMethyl, which can be downloaded from the following URL:

http://braincloud.jhmi.edu/Methylation32/BrainCloudMethyl.htm

Data set 12 (neuron and glial cells) from {22}. The authors developed a cell epigenotype specific model for the correction of brain cellular heterogeneity bias and applied it to study age, brain region and major depression. After performing fluorescence activated cell sorting (FACS) of neuronal nuclei in post mortem frontal cortex 58 samples (29 major depression and 29 matched control samples) followed by Illumina™ HM450 microarray based DNAm profiling, the authors characterized the extent of neuron and glia specific DNAm variation independent of disease status and identified significant cell type specific epigenetic variation at 51% of loci. I ignored disease status in the analysis. I found no evidence that disease status accelerated age in this data set.

Data set 14 (breast) consists of normal breast tissue from 23 females (mean age 48, range 19-75) downloaded from GEO {23}.

Data set 15 (buccal cells) involved 109 fifteen-year-old adolescents from a longitudinal study of child development {24}. While the authors found that DNA derived from buccal epithelial cells showed differential methylation among adolescents whose parents reported high levels of stress during their children's early lives, parental stress was ignored. All samples have the same chronological age (15 years).

Data set 16 (buccal cells) involved 8 different subjects. Rakyan et al (2010) confirmed that these buccal cell preparations contained very little, if any, leukocyte contamination, hence showing that the measured methylation profiles were predominantly from buccal cells {25}.

Data set 17 (buccal cells) from {26}. The authors applied the Illumina™ 450K platform to buccal swabs from 10 monozygotic (MZ) and 5 dizygotic (DZ) twin pairs from the Peri/postnatal Epigenetic Twins Study (PETS) cohort. In this longitudinal study, DNAm profiles were generated at birth (age 0) and at age 1.5 years (18 months).

Data set 18 (cartilage, chondrocytes) from {27}. The authors analyzed human articular chondrocytes from osteoarthritic patients and healthy cartilage samples. I did not find a relationship between disease status and accelerated DNAm age.

Data sets 19 (colon, normal tissue) consists of samples downloaded from TCGA data base measured on the Illumina™ 27K array.

Data set 20 (colon mucosa) from {28}. Crohn's disease, ulcerative colitis, and normal colon mucosa samples were measured on the Illumina™ Infinium HumanMethylation450 BeadChip v1.1. Samples came from 9 Crohn's disease affected, 5 ulcerative colitis affected, and 10 normal individuals. I did not detect a significant relationship between disease status and DNAm age acceleration.

Data set 21 (dermal fibroblasts) consists of 14 female fibroblast samples (mean age 32, range 6-73). The samples came from different locations on the human body (5 abdomen, 2 arm, 2 breast, 3 ear, and 2 leg samples) {2}. The single blepharoblast sample was removed from this data set since hierarchical clustering (based on the Euclidean distance, single linkage) indicated that it was an outlier.

Data set 22 (epidermis) came from a study that evaluated the epigenetic effects of aging and chronic sun exposure {29}. I used the 10 epidermal samples collected using suction blistering.

Data set 23 (gastric tissue) from {30}. The Illumina™ HumanMethylation27 BeadChip was used to obtain DNAm profiles across 27,578 CpGs in 203 gastric tumors and 94 matched non-malignant gastric samples. I focused on matched control samples.

Data set 24 (head/neck normal adjacent tissues) measured on the Illumina™ 450K platform from the TCGA data base (HNSC data).

Data set 25 (heart tissue) {31}. The authors generated DNAm profiles from human left ventricular myocardium DNA in order to study alterations in cardiac DNAm in human dilated cardiomyopathy (DCM). There were n=8 controls (patients after heart transplantation) and n=9 patients with idiopathic DCM. I ignored disease status in the analysis. I could find no significant evidence that disease status affects DNAm age in this small data set.

Data sets 26 (renal papillary, normal tissue) consists of 44 samples (mean age 66) downloaded from TCGA data base (KIRP) measured on the Illumina™ 450K array.

Data sets 27 (adjacent normal tissue, kidney measured on the Illumina™ 450K array) from TCGA (Kidney Clear Cell Renal Carcinoma, KIRC).

Data set 28 (liver) consists of normal adjacent tissue samples from Taiwanese hepatocellular carcinoma subjects {32}. The data were downloaded from GEO (GSE37988).

Data set 29 (lung squamous cells from normal adjacent tissue) consists of samples downloaded from TCGA data base (normal from LUSC) that were measured on the Illumina™ 27K array.

Data set 30 (lung normal adjacent lung tissue, Illumina™ 27K) from the Cancer Genome Atlas (TCGA) data base (http://tcga-data.nci.nih.gov/), LUAD.

Data sets 31 (lung squamous cells from normal adjacent tissue measured on the Illumina™ 450K) from the TCGA data base (normal samples from LUSC).

Data set 32 (mesenchymal stromal cells from bone marrow) consists of 16 female samples (mean age 53, range 21-85) {33}. The MSC from human bone marrow were either isolated from bone marrow aspirates or from the caput femoris upon hip fracture of elderly donors {33}. Due to sample size constraints, cell passage status (reflecting short versus long term culture) was ignored.

Data set 33 (placenta) from mothers of monozygotic and dizygotic twins {34}. Since placenta only develops during pregnancy, its chronological age was set to zero.

Data set 34 (prostate) consists of 69 normal prostate samples (mean age 61) {35}.

Data set 35 (prostate, normal adjacent tissue) measured on the Illumina™ 450K platform from the TCGA data base (PRAD data).

Data set 36 (saliva from alcoholic males) is from {36} as data set 68, but involves 131 male samples (again with mean age 32, range 21-55). Thus, I split the original data by gender.

Data set 37 (saliva from healthy men) involved 69 healthy male samples (mean age 35, range 21-55). We used these twin pairs and triplets to develop a saliva based predictor of age {3}. Since all twins were monozygotic, I could not use these data to estimate heritability with Falconer's formula.

Data sets 38 (stomach normal adjacent tissue measured on the Illumina™ 27K array) consists of 41 samples (mean age 69) downloaded from TCGA data base (STAD data).

Data set 39 (thyroid, normal adjacent tissue) measured on the Illumina™ 450K platform from the TCGA data base (THCA data).

Data set 40 (WB from type 1 diabetics) consists of samples from 191 subjects (mean age 44, range 24-74) {12, 37}. Since all subjects had type 1 diabetes, disease status was ignored. These data were downloaded from GEO (GSE20067).

Data set 41 (WB from healthy females) consists of 93 whole blood samples from women whose mean age was 63 (range 49-74) {25}. The samples were collected from different healthy females (both twin pairs and singletons).

Data set 42 (WB from postmenopausal women) consists of 262 whole blood samples from women with ovarian cancer (mean age 66, range 49-91). These are the cases from the UKOPS data (see data set 43). These samples were used since ovarian cancer did not have a global effect on blood methylation levels {12, 37}.

Data set 43 (WB from healthy postmenopausal women) consists of 269 whole blood samples from women with a mean of 65 (range 52-78) {12, 37}. While the data come from the United Kingdom Ovarian Cancer Population Study (UKOPS), it is important to emphasize that the samples come from healthy age matched controls of ovarian cancer patients. The data were downloaded from GEO (GSE19711).

Data set 44 (WB from rheumatoid arthritis) from a differential DNAm study of rheumatoid arthritis {38}. The authors found DNAm could serve as an intermediary of genetic risk in rheumatoid arthritis. I ignored disease status in the analysis. I did find that the whole blood of rheumatoid arthritis patients showed evidence of negative age acceleration compared to controls. While the large sample size led to a statistically significant (p=0.0049) finding, the effect size (age difference of 1.2 years) appears to be negligible.

Data set 45 (leukocytes from healthy children of the Simons Simple Collection) consists of peripheral blood leukocyte samples from 386 healthy (mostly male) subjects (mean age 10, range 3-17). These are healthy siblings of subjects with autism spectrum disorder (ASD) {17}.

Data set 46 (peripheral blood mononuclear cells from newborns and nonagenarians) {39} can be downloaded from GEO GSE30870.

Data set 47 (peripheral blood mononuclear cells) collected from a community-based cohort stratified for early-life socioeconomic status {40}. The data were downloaded from GEO (GSE37008). The authors found that psychosocial factors, such as perceived stress, and cortisol output were associated with DNAm patterns, as was early-life socioeconomic status. But none of these factors turned out to be related to DNAm age which justified that these covariates were ignored in this study.

Data set 48 (cord blood samples from newborns) comes from a study that related DNAm data to birth weight. Incidentally, DNAm age did not appear to be correlated with birth weight. No citation appears to be available for these data that were submitted to GEO (GSE36812) by N Turan and C Sapienza.

Data set 49 (cord blood mononuclear cells) comes from a study that investigated the effects of periconceptional maternal micronutrient supplementation on infant blood methylation patterns from offspring of Gambian women enrolled into a randomized, double blind controlled trial {41}. No significant relationship between DNAm age and micronutrient supplementation status could be observed.

Data set 50 (cord blood mononuclear cells) is from monozygotic and dizygotic twins {34} but twin status was ignored in our analysis.

Data set 51 (CD4 T cells from infants) consisted of sorted CD4+ T cell samples. The authors used the data to investigate the dynamics and relationship between DNAm and gene expression during early T-cell development {42}. The mononuclear cells were collected from 24 infants at birth (n=12) and resampled at 12 months (n=12). CD4+ cells were purified and the DNA analyzed using Illumina™ Inf450K arrays. The data were downloaded from GEO (GSE34639).

Data set 52 (CD4+ T cells and CD14+ monocytes) consisted of sorted CD4+ T-cells and CD14+ monocytes from blood of an independent cohort of 25 healthy subjects {25}.

Data set 53 (immortalized B cells) and other cells from progeria and Werner syndrome patients and controls {43}. The Hutchinson-Gilford Progeria Syndrome (HGP) and Werner Syndrome are two premature aging diseases showing features of common aging. Mutations in LMNA and WRN genes are associated to disease onset; however for a subset of patients the underlying causative mechanisms remains elusive. In this study, the authors aimed to evaluate the role of epigenetic alteration on premature aging diseases by performing genome-wide DNAm profiling of HGP and WS patients. The authors analyzed Epstein-Bar virus (EBV) immortalized B cells, naive B-cells, and peripheral blood mononuclear cells. The authors found aberrant DNAm profiles in the premature aging disorders Hutchinson-Gilford Progeria and Werner syndrome {43}. In this relatively small data set, I found no evidence that these premature aging diseases accelerate DNAm age in immortalized B cells. Future studies could evaluate whether premature aging diseases are associated with accelerated DNAm age in other tissues or cell types. Interestingly, chronological age continued to be highly correlated with DNAm age in these immortalized B cells which suggests that immortalization via EBV does not have a major effect on DNAm age.

Data set 54 (cerebellar samples) and data set 55 (occipital cortex samples) from autism cases and controls {44}. The authors collected idiopathic autistic and control cerebellar and BA19 (occipital) brain tissues. Here we ignored autism disease status. Incidentally, we could not detect an association between autism status and DNAm age.

Data set 56 (breast, normal adjacent tissue, Illumina™ 450K) consists of normal breast tissue samples from 90 female breast cancer cases (mean age 57, range 28-90) from TCGA, but unlike data set 57 these samples were assayed on the Illumina™ 450K platform.

Data set 57 (breast, normal adjacent tissue, Illumina™ 27K) consists of normal breast tissue samples from 27 female breast cancer cases (mean age 55, range 35-88) from the Cancer Genome Atlas (TCGA) data base (http://tcga-data.nci.nih.gov/).

Data set 58 (buccal cells) from {45}. The authors performed a longitudinal study of DNA methylation at birth and age 18 months in DNA from buccal swabs from 10 monozygotic (MZ) and 5 dizygotic (DZ) twin pairs from the Peri/postnatal Epigenetic Twins Study (PETS) cohort.

Data sets 59 (colon) normal adjacent tissue measured on the Illumina™ 450K array, downloaded from TCGA (COAD data).

Data set 60 (adipose) from monozygotic Twins Discordant for Type 2 Diabetes. {46}. Monozygotic twins discordant for type 2 diabetes constitute an ideal model to study environmental contributions to type 2 diabetic traits. The authors aimed to examine whether global DNAm differences exist in major glucose metabolic tissues from twelve 53-80 year-old monozygotic discordant twin pairs. DNAm was measured by the Illumina™ HumanMethylation27 BeadChip in 22 (11 pairs) skeletal muscle and 10 (5 pairs) subcutaneous adipose tissue biopsies. Diabetes status was ignored in my analysis. I could find no significant evidence that disease status affects DNAm age in this small data set.

Data set 61 (heart tissue) consists of only 6 human male samples (mean age 61, range 55-71) {47}. Clearly, larger sample sizes will be needed to evaluate this tissue.

Data set 62 (kidney) normal adjacent tissue from clear cell renal carcinoma consists of samples downloaded from the TCGA data base (KIRC) that were measured on the Illumina™ 27K platform.

Data set 63 (liver normal adjacent tissues) measured on the Illumina™ 450K platform from the TCGA data base (LIHC data).

Data sets 64 (lung, normal adjacent tissue) measured on the Illumina™ 450K arrays. The data consists of samples downloaded from TCGA data base (normal from LUAD).

Data set 65 (muscle) from monozygotic Twins Discordant for Type 2 Diabetes {46}. Monozygotic twins discordant for type 2 diabetes constitute an ideal model to study environmental contributions to type 2 diabetic traits. The authors aimed to examine whether global DNAm differences exist in major glucose metabolic tissues from twelve 53-80 year-old monozygotic discordant twin pairs. DNAm was measured by the Illumina™ HumanMethylation27 BeadChip in 22 (11 pairs) skeletal muscle and 10 (5 pairs) subcutaneous adipose tissue biopsies. Diabetes status was ignored in my analysis. I could find no significant evidence that disease status affects DNAm age in this small data set.

Data set 66 (muscle) tissue from healthy men who were 24 years old. These data came from an epigenetic analysis of healthy young men following a control and high-fat overfeeding diet {48}. These data came from a randomized cross-over design, where all subjects received both treatments (control and high-fat overfeeding diet). Biopsies were obtained from 23 different individuals amounting to 22 samples following the control diet and 22 samples following the high-fat overfeeding diet (paired n=21). The resulting 44 samples were analyzed using the Illumina™ 27K platform. Diet status was ignored in my analysis. I could find no significant evidence that diet affects DNAm age in this relatively small data set.

Data set 67 (placenta) from {49}. DNA from 20 third trimester early onset preeclampsia placentas and 20 gestational age matched controls.

Data sets 68 (saliva) from alcoholic females involved 52 samples (mean age 32, range 21-55) {36}.

Data set 69 (uterine cervix) involved cytologically normal cells from the uterine cervix of 152 women {23, 50}.

Data set 70 (uterine endometrium normal adjacent tissue) measured on the Illumina™ 450K platform from the TCGA data base (UCEC data).

Data set 71 (various human tissues) from the ENCODE/HAIB Project. These Illumina™ 27K data were downloaded from GEO GSE40700.

Data set 72 (chimpanzees and humans) from {47} The authors used the Illumina™ 27K array to compare DNAm profiles in the following human and chimpanzee tissue samples: 6 human livers, 6 human kidneys, 6 human heart, 6 chimpanzee livers, 6 chimpanzee kidneys, and 6 chimpanzee hearts.

Data set 73 (ape blood) from {51}. The authors applied the Illumina™ 450K arrays to blood derived DNA from humans, chimpanzees, bonobos, gorillas and orangutans. Since ages were not available for humans and orangutans, I focused on chimpanzees, bonobos, gorillas for whom ages were available.

Data set 74 (sperm) from {52}. The authors performed a genome-wide analysis of sperm DNA isolated from 21 men with a range of semen parameters presenting to a tertiary male reproductive health clinic. DNAm was measured with the Illumina™ Infinium array at 27,000 CpG loci.

Data set 75 (sperm) from {53}. The authors applied the 450K platform to DNA derived from 26 normal sperm samples.

Data set 76 (vascular endothelial cells from human umbilical cords) from monozygotic and dizygotic twins {34}.

Data sets 77 and 78 (special cell types) involved human embryonic stem cells, iPS cells, and somatic cell samples measured on the Illumina™ 27K array and Illumina™ 450K array, respectively {54}. Although no specific age information was available, these two valuable data sets could be used a) to compare adult somatic tissues versus fetal somatic tissues, b) to compare the DNAm ages of different tissues from the same individual (FIG. 3), c) to assess the variance of methylation probes across adult somatic tissues and fetal somatic tissues, d) to study how the DNAm age of iPS cells compares to that of somatic primary tissue and primary cell lines (FIG. 6), e) to evaluate how cell passaging effects DNAm age (FIG. 6). Data set 78 contained multiple tissue samples from two adults. For data set 78, the following tissues and sample sizes were available: Adipose (n=2 samples), Adrenal (n=4), Aorta (2), Bladder (2), Blood (2), Brain (3), Breast (1), Colon (1), Diaphragm (2), Duodenum (1), human embryonic stem (ES) cells (118), Gallbladder (1), Heart (2), iPS (46), Kidney (2), Liver (1), Lung (4), Lymph Node (2), Ovary (2), Pancreas (2), Prostate (1), Skeletal Muscle (2), Skin (1), Small Intestine (1), Somatic Primary Cell Line (49), Spleen (3), Stomach (4), Tongue (1) Ureter (2). For data set 52, the following sample sizes were available {54} Adipose (2), Adrenal (5), Bladder (2), Blood (2), Brain (5), ES (19), Heart (5), iPSC (29), Kidney (5), Liver (4), Lung (7), Lymph Node (2), Pancreas (2), Skeletal Muscle (2), Somatic Primary Cell Line (22), Spleen (5), Stomach (6), Thymus (2), Tongue (2), Ureter (2).

Data set 79 (reprogrammed mesenchymal stromal cells from human bone marrow (iP-MSC), initial MSC, and embryonic stem cells) {55}. The authors reprogrammed mesenchymal stromal cells from human bone marrow (iP-MSC) and compared their DNAm profiles with initial MSC and embryonic stem cells (ESCs) using the Illumina™ 450K array. The data were downloaded from GEO (GSE37066).

Data set 80 (hESC and normal primary tissue) from {56}. The authors extracted DNA from the following well-characterized human embryonic stem cell (hESC) lines: SHEF-1, SHEF-4, SHEF-5, SHEF-7, H7, H14, H14S9, H7S14, HS181 and 13. The authors used DNA from human normal primary tissues provided by Biochain (Hayward, Calif., USA).

Data set 81 (hESC) from {57}.DNA derived from H9, H13C, SHEF2 hESC cultured in two different media. The medium was not significantly related with DNAm age estimate.

Data set 82 (blood cell type data) {58} Six healthy male blood donors, age 38±13.6 years, were included in the study. From each individual, global DNAm levels were analyzed in whole blood, peripheral blood mononuclear cells (PBMC) and granulocytes as well as for seven isolated cell populations (CD4+ T cells, CD8+ T cells, CD56+NK cells, CD19+ B cells, CD14+ monocytes, neutrophils, and eosinophils), n=60 samples analyzed in total. The data were downloaded from GEO (GSE35069).

Criteria guiding the choice of the training sets

The choice of training data sets was guided by the following criteria: First, the training data should represent a wide spectrum of tissues and cell types. In this example, the training data involved blood (whole blood, cord blood, PBMCs), brain (cerebellum, frontal cortex, pons, prefrontal cortex, temporal cortex, neurons and glial cells), breast, buccal epithelium, cartilage, colon, dermal fibroblasts, epidermis, gastric tissue, head/neck tissue, heart, kidney, liver, lung, mesenchymal stromal cells, prostate, saliva, stomach, thyroid, etc.

Second, the individual training sets (that make up the combined training set) should have a similar age distribution. The training data should contain a high proportion of samples (37%) measured on the Illumina™ 450K platform since many on-going studies use this recent Illumina™ platform. Incidentally, 34% of test set samples were measured on the 450K platform. Here I only studied 21369 probes measured with the Infinium type II assay which satisfied the following criteria: a) they were present on both Illumina™ platforms (Infinium 450K and 27K) and b) had fewer than 10 missing values.

Description of the Cancer Data Sets

Data set 3 (glioblastoma multiforme, GBM) measured on the Illumina™ 450K array from {59} (GEO identifier GSE36278).

Data set 4 (breast cancer) measured on the Illumina™ 27K array from {60} (GEO identifier GSE31979).

Data set 5 (breast cancer) measured on the Illumina™ 27K array from {61}(GEO identifier GSE20712).

Data set 6 (breast cancer) measured on the Illumina™ 27K array from {23} (GEO identifier GSE33510).

Data set 10 (colorectal cancer) measured on the Illumina™ 27K array from {62} (GEO identifier GSE25062).

Data set 23 (prostate cancer) measured on the Illumina™ 27K array from {35} (GEO identifier GSE26126).

Data set 30 (urothelial carcinoma) measured on the Illumina™ 27 L array from {63}.

All other cancer data sets came from the TCGA data base. In particular, acute myeloid leukemia (AML), bladder urothelial carcinoma (BLCA), cervical squamous cell carcinoma and endocervical adenocarcinoma (CESC), colon adenocarcinoma (COAD), head/neck squamous cell carcinoma (HNSC), liver hepatocellular carcinoma (LIHC), kidney renal clear cell carcinoma (KIRC), kidney renal papillary cell carcinoma (KIRP), liver ovarian serous cystadenocarcinoma (OVAR), prostate adenocarcinoma (PRAD), rectum adenocarcinoma (READ), sarcoma (SARC), thyroid carcinoma (THCA), skin cutaneous melanoma (SKCM), uterine corpus endometrioid carcinoma (UCEC).

DNAm Profiling and Pre-Processing Steps

Full experimental methods and detailed descriptions of these public data sets can be found in the original references. The following briefly summarizes the main steps. Methylation analysis was performed either using the Illumina™ Infinium Human Methylation27 BeadChip {64} or the Illumina™ Infinium HumanMethylation450 BeadChip. The Illumina™ HumanMethylation27 BeadChips measures bisulfite-conversion-based, single-CpG resolution DNAm levels at 27,578 different CpG sites within 5′ promoter regions of 14,475 well-annotated genes in the human genome. Data from the two platforms were merged by focusing on the roughly 26 k CpG sites that are present on both platforms. The HumanMethylation27 BeadChip mainly represents specific CpG that are located near gene promoter regions.

All of the public data were generated by following the standard protocol of Illumina™ methylation assays, which quantifies DNAm levels by the β value using the ratio of intensities between methylated (signal A) and un-methylated (signal B) alleles. Specifically, the β value was calculated from the intensity of the methylated (M corresponding to signal A) and un-methylated (U corresponding to signal B) alleles, as the ratio of fluorescent signals β=Max(M,0)/[Max(M,0)+Max(U,0)+100]. Thus, β values range from 0 (completely un-methylated) to 1 (completely methylated) {65}.

The mean inter-array correlation was used to measure how similar (correlated) a given sample is compared to the remaining samples of the data set. To ensure high quality data without technical artifacts, non-cancer samples were only used if their mean inter-array correlation was larger than 0.90 and if their maximum DNAm level (across all probes) was larger than 0.96. This filtering step was not applied to the cancer samples since it is well known that cancer greatly affects the DNAm levels. It is worth mentioning that my results would barely change if all samples had been used.

Normalization Methods for the DNA Methylation Data

I carried out several normalization steps to ensure that these data are comparable. While quantile normalization is often used in gene expression studies, it is less frequently used in DNAm studies. Before explaining my unbiased normalization strategy, I briefly provide some background. The Illumina™ 450K platforms uses 2 different chemical assays. The Infinium I and Infinium II assays for the assessment of the DNAm status of more than 480,000 cytosines distributed over the whole genome. The older Illumina™ 27K platform only uses the Infinium II assays. Several authors have noted that the data generated by the two chemical assays used by the 450K platform are not entirely compatible {66}. Dedeurwaerder et al (2011) showed that their correction technique called ‘peak-based correction’, which rescales type II probes on the basis of type I probes greatly improved the signal in Illumina™ Inf450K data. Similarly, Maksimovic et al (2012) showed that their subset-quantile within array normalization (SWAN) substantially improves the results for the Illumina™ 450K platform {67}. Unfortunately, I could not adopt the SWAN normalization here since it requires idat input files, which were not available for many of the data sets.

Teschendorff et al (2012) developed a model-based intra-array normalization strategy for the 450K platform, called BMIQ (Beta MIxture Quantile dilation), which adjusts beta-values of type II probes into a statistical distribution characteristic of type I probes{68}.

My own studies support the claim of these authors that normalizing type II probes so that they correspond to type I probes is a very useful pre-processing step for any study using the Illumina™ 450K platform. I could not adopt these techniques directly since my study only involves type II probes from the 27K platform. About 26000 CpGs from the 27K platform are also represented on the 450K platform and have the same probe identifier. Therefore, it is straightforward to merge data from the two platforms as long as one restricts attention to these overlapping probes. The age predictor was trained on the roughly 21368 type II probes that a) are shared between the Illumina™ 27K and the 450K platforms and b) had <=10 missing values across the training data. However, I adopted the idea underlying these articles as follows. Instead of using type I probes as gold standard for rescaling type II probes, I created another gold standard by forming the mean DNAm value in the largest single study of this article (data set 1, i.e. whole blood samples from {13}). Next, I adapted the BMIQ R function from Teschendorff et al (2013) {68} so that it would rescale the overlapping 21 k probes of each array so that their distribution matched that of the new gold standard. My empirical studies showed that this pre-processing step improved the accuracy of the resulting age predictor especially when it comes to the median error. Even though only the 21 k CpGs that overlap between the Illumina™ 27K and 450K array used in this illustrative example, it can be applied to any set of CpGs (e.g. all CpGs on the 450K array).

Explicit Details on the Definition of DNAm Age

Based on the training set data, I found that it is advantageous to transform age before carrying out an elastic net regression analysis. Toward this end, I used the following novel function F for transforming age (though it is contemplated that other transformations may also possibly be used):

-   -   F(age)=log(age+1)-log(adult.age+1) if age<=adult.age.     -   F(age)=(age-adult.age)/(adult.age+1) if age>adult.age.

The parameter adult.age was set to 20 for humans (different values can also be chosen) and 15 for chimpanzees. Note that F satisfies the following desirable properties: it

-   -   i) is a continuous, monotonically increasing function (which can         be inverted),     -   ii) has a logarithmic dependence on age until adulthood (here         set at 20 years),     -   iii) has a linear dependence on age after adulthood (here set to         20),     -   iv) is defined for negative ages (i.e. prenatal samples) by         adding 1 (year) to age in the logarithm,     -   v) it has a continuous first derivative (slope function). In         particular the slope at age=adult.age is given by         1/(adult.age+1).

The function F is visualized by a red line. As expected, the red line passes through the weighted average of the CpGs (i.e. the linear part of the regression model). The inverse of the function F, denoted by inverse.F, is used to transform the linear part of the regression model into DNAm age.

An elastic net regression model (implemented in the glmnet R function) was used to regress a transformed version of age on the roughly 21 k beta values in the training data. The elastic net regression results in a linear regression model whose coefficients b₀, b₁, . . . , b₃₅₄ relate to transformed age as follows

F(chronological age)=b ₀ +b ₁ CpG ₁ + . . . +b ₃₅₄ CpG ₃₅₄+error

The coefficient values can be found in Example 9. Based, on the coefficient values from the regression model, DNAmAge is estimated as follows

DNAmAge=inverse.F(b ₀ +b ₁ CpG ₁ + . . . +b ₃₅₄ CpG ₃₅₄)

Thus, the regression model can be used to predict to transformed age value by simply plugging the beta values of the selected CpGs into the formula. The linear part, (i.e. the weighted average of the selected CpGs) is visualized as a red line.

The glmnet function requires the user to specify two parameters (alpha and beta). Since I used an elastic net predictor, alpha was set to 0.5. But the lambda value of 0.02255706 was chosen by applying a 10 fold cross validation to the training data (via the R function cv.glmnet).

The following R code provides details on the analysis.

library(glmnet)

# use 10 fold cross validation to estimate the lambda parameter

# in the training data

glmnet.Training CV=cv.glmnet(datMethTraining, F(Age), nfolds=10,alpha=alpha,family=“gaussian”)

# The definition of the lambda parameter:

lambda.glmnet.Training=glmnet.Training CV$lambda.min

# Fit the elastic net predictor to the training data

glmnet.Training=glmnet(datMethTraining, F(Age), family=“gaussian”, alpha=0.5, nlambda=100)

# Arrive at an estimate of of DNAmAge

DNAmAgeBasedOnTraining=inverse.F(predict(glmnet.Training,datMeth,type=“response”,s=lambda.glmnet.Training))

Chromatin State Data Used

While specific histone modifications correlate with regulator binding, transcriptional initiation and elongation, enhancer activity and repression, combinations of chromatin modifications can provide even more precise insight into chromatin state {69}. Here I used the chromatin state data from {69}. The authors profiled nine human cell types, including common lines designated by the ENCODE consortium and primary cell types. These consisted of embryonic stem cells (H1 ES), erythrocytic leukemia cells (K562), B-lymphoblastoid cells (GM12878), hepatocellular carcinoma cells (HepG2), umbilical vein endothelial cells (HUVEC), skeletal muscle myoblasts (HSMM), normal lung fibroblasts (NHLF), normal epidermal keratinocytes (NHEK), and mammary epithelial cells (HMEC).

Ernst et al (2011) distinguish six broad classes of chromatin states, referred to as promoter, enhancer, insulator, transcribed, repressed, and inactive states. Within them, active, weak and poised promoters (states 1-3) differ in expression levels, strong and weak candidate enhancers (states 4-7) differ in expression of proximal genes, and strongly and weakly transcribed regions (states 9-11) also differ in their positional enrichments along transcripts. Similarly, Polycomb-repressed regions (state 12) differ from heterochromatic and repetitive states (states 13-15), which are also enriched for H3K9me3. It will be interesting to map the 354 clock CpGs to the states of individual cell lines. Since the number of profiled cell lines keeps expanding and warrants a comprehensive analysis, reporting results for individual cell lines is beyond the scope of this article. Instead, I provide a broad overview by averaging the results across the 9 cell lines mentioned by Ernst 2011. Specifically, the y-axis reports the mean number of cell lines (out of 9 cell lines) for which the CpGs were in the chromatin state mentioned in the title.

Comparing the Multi-Tissue Predictor with Other Age Predictors

Several recent publications describe age predictors based on DNA methylation levels {2, 3, 16}. Hannum et al (2012) found that computing a DNAm based age predictor for different tissues gave basically no overlap, e.g. blood-derived predictive CpGs were different from those from other tissues {16}. This suggests that an optimal age predictor for one tissue may be sub-optimal for another. I don't disagree with these results. Instead, I show that one can build a multi-tissue age predictor which can be used for addressing a wide range of questions arising in aging research. While slight gains in accuracy can probably be achieved by focusing on a single tissue and considering more CpGs, the major strength of the proposed multi-tissue age predictor lies in its wide applicability: for most tissues it will not require any adjustments or offsets. The proposed multi-tissue age predictor greatly outperforms the predictors by {2, 3} as detailed below. I could not directly evaluate the predictor by {16} since a) only seven out of its 71 CpGs are represented on the Illumina™ 27K platform, b) it included gender and body mass index as covariates. However, I was able to evaluate the performance of a sparse version of the published predictor by using the seven overlapping CpGs that could be found on both Illumina™ platforms. In the following, I provide more details. To provide an unbiased comparison, I constructed each predictor in an analogous fashion in the training data, i.e. its coefficient values were estimated using the same penalized regression approach. Thus, the predictors only differed with respect to the sets of CpGs that were considered in the penalized regression model. While this does not allow me to assess the performance of the published predictors directly, it provides a completely unbiased comparison of the age predictors. Using the coefficient values from the respective publications would have biased the comparison against them since most were constructed on significantly smaller training data sets (often involving a single tissue) or using a single Illumina™ platform.

I evaluated the performance of each age predictor a) across the training data sets and b) across the test data sets. Since I constructed each predictor using the training data sets, the estimated accuracy in the training set is overly optimistic. I also defined a “shrunken” version of my multi-tissue age predictor, which only involves a subset of 110 CpGs from the 354 CpGs. As indicated by its name, the shrunken predictor is defined by using a more stringent shrinkage parameter (50 times that of the original model) in the penalized regression model. The shrunken predictor is highly accurate in the training data (cor=0.95, error=4 years) and test data (cor=0.95, error=4.2 years). Coefficient values of the multi-tissue predictor and its shrunken version can be found in Example 9. I find that my multi-tissue age predictor greatly outperforms the predictors by {2, 3}. Even when I use the same penalized regression approach for re-training their CpGs, both predictors lead to high errors in training and test data (>14 years) and much lower age correlations (<=0.56). Hannum et al (2012) proposed an age predictor based on 71 CpGs {16}. The authors built a predictive model of aging using a penalized regression method (elastic net) but it differs from the current analysis in the following aspects. First, the aging model from {16} was trained on whole blood, which is a noteworthy advantage when it comes to the design of practical diagnostics and for testing blood samples collected from other studies. Second, it also included clinical parameters such as gender and body mass index as covariates. Third, it is based on CpGs from the Illumina™ 450K arrays while my predictor only involves CpGs from the Illumina™ 27K array. Since only seven of the 71 CpG markers from {16} can be found on the Illumina™ 27K array, I could not carry out a direct comparison across the many tissues considered here. Instead, I was only able to evaluate the performance of a very sparse version of the published predictor by using the seven overlapping CpGs (cg04474832, cg05442902, cg06493994, cg09809672, cg19722847, cg21296230, cg22736354) that could be found on both Illumina™ platforms. The resulting sparse version performs well in the training data (age cor=0.82, error=8.0 years) and in the test data (cor=0.86, error=8.0 years).

In conclusion, a sparse version of the predictor from {16}(based on 7 CpGs) works best among predictors with fewer than 10 CpGs. The proposed multi-tissue predictor suggests that a couple of hundred CpGs will be needed to accurately predicted age across multiple tissue types and the two Illumina™ platforms.

Meta Analysis for Finding Age-Related CpGs

To measure pure age effects in the marginal analysis, I used the metaAnalysis R function in the WGCNA R package {70}. This function allowed to calculate two p-values: pValueHighScale and pValueLowScale for finding consistently positively and negatively age related CpGs, respectively. Thus, CpGs with a low pValueHighScale have a consistently high age correlation in the individual data sets. Since this meta analysis method conditions on the data sets, the p-values are not confounded by data set or tissue. I used the signed logarithm (base 10) of the meta analysis p-value in scatter plots. The sign was chosen so that CpGs with positive (negative) age correlations lead to positive (negative) log p-values. It is shown that the meta analysis p-value based on the training data sets is highly correlated with a corresponding meta analysis p-value calculated using all training and test sets. The high correlation shows that little information is lost by focusing on the training data. The most significant age-related CpGs found in all data can already be found using the training data alone.

Variation of Age Related CpGs Across Somatic Tissues

Since the age predictor performs well across a wide spectrum of tissues, I hypothesized that many of the 354 CpGs used for estimating DNAm age vary little across tissues and that many of them correlate highly with age.

To test this hypothesis, I first defined three different measures of tissue variance. The first measure of tissue variance used analysis of variance (ANOVA) across the training data sets. Toward this end, I used a multivariate regression model to regress each CpG (dependent variable) on age and tissue type. The regression model included age as covariate since the analysis needed to adjust for the fact that different data sets had different age distributions. ANOVA allowed me to calculate an F statistic for tissue effect which takes on a large value for CpGs that vary greatly across the different training set tissues. The second and third measure of tissue variance were defined using the adult somatic tissues and the fetal somatic tissues, respectively, from {54} (data set 77). As an aside, I mention that the mean DNAm age (predicted age) of fetal somatic tissues is close to zero, i.e. it is much lower than that of adult somatic tissues in this data set, which again validates the age predictor. The adult- and the fetal measure of tissue variance of each CpGs is defined by its variance across the adult and somatic tissue samples from {54}, respectively. I find that the adult and the fetal tissue variance measures are highly correlated (cor=0.8) which indicates that these measures are robustly defined and change little with age. Since the data from Nazor et al (data set 77) were not part of the training data, these measures could be used to validate the F-statistic measure of tissue variance. I find a high correlation between the adult measure of tissue variance and the F statistic (cor=0.73) which shows that these measures of tissue variance are highly reproducible. I also defined a stringent measure of age variation for each CpG using a meta analysis approach. The meta analysis calculated age correlations in each training data set separately and next aggregated the correlation test p-values resulting in a meta analysis p-value. Different from the construction of the age predictor, the meta analysis approach explicitly conditioned on each data set. Thus, a CpG has a significant meta analysis p-value if it consistently correlates with age irrespective of tissue type, data set effect, or Illumina™ platform version. It did not really matter that I calculated the meta analysis p-value using the training data alone since the resulting p-value is highly correlated (cor=0.97) with the analogous p-value that results from using all data sets.

To address the question how the tissue variation of a CpG relates to its age variation, I plotted tissue variance versus age variance. Using the ANOVA F statistic for tissue effect, I find the that CpGs with high positive or negative age correlations do not vary much across the somatic adult tissues. A completely analogous result can be observed when using the somatic variance measures involving the adult and fetal tissues from Nazor et al (data 77). CpGs that vary little across tissues appear to be more susceptible to aging effects. Conversely, CpGs that vary greatly across tissues are less affected by aging effects which might reflect that they are actively protected against aging effects.

Studying Age Effects Using Gene Expression Data

The publicly available microarray data sets involved mainly healthy individuals (in particular no cancer samples were considered).

To estimate the age effect on gene expression levels, I analyzed multiple independent publicly available microarray data sets. Blood microarray data sets involving mainly healthy control individuals (referred to as SAFHS {71}, Chaussabel {72} and NOWAC {73} data) and the CD8 T cell microarray data Cao {74}. To assess whether a gene was differentially expressed between naive CD8+ T cells and antigen exposed CD8+ T cells, I used the data from Willinger et al {75, 76}). In the following I provide more details.

The data from a study of post-menopausal women (the NOWAC data). In my largest data set, the San Antonio Family Heart Study (SAFHS) data set, individuals were ascertained from probands meeting two criteria: 1) having a living spouse and 2) having six first-degree relatives 16 years or older in the San Antonio area—excluding parents. While this data set was used to study cardiovascular phenotypes, the data was obtained without selection bias towards these traits, and therefore can be considered a random sampling.

I obtained the San Antonio Family Heart Study (SAFHS) blood data set, which was previously analyzed by Goring, et al {71}. This data set was derived from lymphocytes; RNA was hybridized to Illumina™ Sentrix Human Whole Genome (WG-6) Series I BeadChips with probe sets corresponding to 18,544 genes. Quantile normalization was applied to the raw data. This data set consisted of 1,084 samples: 452 males and 632 females between ages 15 and 94 after outlier removal. Specifically, outlier detection and removal was performed using an iterative process of removing outliers with average interarray correlation (IAC)<2 SD below the mean until visual inspection of the cluster dendrogram and plot of the mean IAC revealed no further outliers. This analysis was completely unbiased and agnostic to chronological age. Toward this end, I used our recently developed sampleNetwork R function described in {77}

The Chaussabel data set was originally published by Pankla, et al. {72} and was used to study melioidosis. 67 whole blood samples were hybridized to Illumina™ Sentrix Human-6 V2 BeadChip arrays with 12,483 genes. Background subtraction and average normalization was performed using Illumina™ BeadStudio version 2 software, and standard normalization for one-color array data was performed using Gene-Spring GX7.3 software (Agilent Technologies) by the original authors. This data set consisted of 35 men and 32 women between the ages of 18 and 74. I also used healthy postmenopausal women from the Norwegian Women and Cancer (NOWAC) study {73}. The whole blood data were measured using AB Human Genome Survey Microarray V2.0 with 16,753 genes. For sets of technical replicates, arrays with the least number of probes with a S/N>3 were excluded. Arrays with less than 40% of probes with a S/N≧3 were removed. Probes with an S/N≧3 in less than 50% of samples were excluded. Log (base 2) transformation, quantile normalization and imputation was performed. I furthermore excluded samples using an iterative process of removing samples with average interarray correlation <2 SD ultimately resulting in 245 samples. Age ranges of {48,53), {53,58) and {58,63} were given, and I used for the analysis corresponding ages of 50, 55 and 60.

In the CD8+ T cell data set from Cao, et al. {74} Affymetrix HG-U133A_2 Gene Arrays were used to explore the expression profiles of three male and six female donors whose ages ranged from 23 to 81. Microarray Suite Version 5.0 (MAS 5.0; Affymetrix) was used to quantify the expression levels of 12,483 genes. In the CD8+ T cell data set from Willinger et al {75, 76}, Affymetrix HG-U133 plus 2.0 arrays (log transformed MASS data) were used to explore the expression profiles of human CD8+ naive T cells (TN), central memory (TCM), effector memory (TEM), and effector memory RA (TEMRA) CD8+ T cells. TN can be regarded as peripheral stem cells, while TEM and TEMRA are differentiated cells with effector function. For each T cell type, the original data set contained 4 replicates (i.e. there were 16 arrays). Since one of the central memory samples had very low interarray correlation with the other samples, I removed this potential outlier from the analysis. A Student t-test of differential expression was used to compare expression levels in naive CD8+ cells versus the memory T cells.

The first brain data set was previously analyzed by Lu, et al. {78}. 30 frontal lobe samples were hybridized to Affymetrix HG-U95Av2 oligonucleotide arrays with 8,760 genes. Arrays were normalized by Lu, et al. using dChip V1.3 software, and after using the aforementioned iterative process of removing samples with average interarray correlation <2 SD below the mean I obtained 25 samples. This data set consisted of 16 men and 9 women between ages 26 and 91.

The second cortical brain data set was previously analyzed by Myers, et al. {79}. The Illumina™ HumanRef-8 Expression BeadChip was utilized, and expression profiles were rank-invariant normalized using Illumina™ BeadStudio software. I utilized a iterative normalization process and removed 25 samples for a total of 168 samples and 19,880 genes. This data set consisted of 92 men and 76 women between ages 65 and 100. The third cortical brain data set was previously analyzed by Oldham, et al. {80}. Affymetrix HG-U95Av2 microarrays were used. Quantile normalization was utilized. Ultimately I identified 7763 genes in 67 individuals. This data set consisted of 48 men and 19 women between ages 22 and 81. The kidney data sets were previously analyzed by Rodwell, et al. {81}. I utilized data from HG-U133A high-density oligonucleotide arrays; Rodwell, et al. normalized data using the dChip program according to the stable invariant set, and I further processed using the normalization and iterative outlier removal process. These normalization and outlier detection procedures resulted in 63 kidney cortex samples and 52 kidney medulla samples. There were 12,606 genes in both data sets. The kidney cortex data set consisted of 35 men and 26 women between ages 27 and 87, and the kidney medulla data set consisted of 29 men and 23 women between ages 29 and 92.

The muscle data set was previously analyzed by Zahn, et al. {82}. 81 samples were hybridized to Affymetrix HG-U133 2.0 Plus high-density oligonucleotide arrays. The authors used the DChip program to normalize the data. I omitted 10 samples using the iterative normalization and outlier removal process, resulting in 71 samples and 19,621 genes. This data set consisted of 39 men and 32 women between ages 16 and 89.

Meta Analysis Applied to Gene Expression Data

In the following, I describe how I obtained the Pearson correlation coefficient, the corresponding t-test statistic Z in each data set, the metaZ statistics summarizing correlation test statistics across multiple data, a corresponding empirical p-value (pMetaZ). I denote by r_(s) the Pearson correlation coefficient (e.g. between age and the gene expression profile) in the s-th data set. The Student t-test statistic for testing whether the correlation is different from zero is given by

$Z_{s} = \frac{\sqrt{m_{s} - 2} \cdot r_{s}}{\sqrt{1 - r_{s}^{2}}}$

where m_(s) denotes the number of observations (i.e. microarrays, individuals) in the s-th data set. This Z statistic is equivalent to the Wald test statistic resulting from a univariate regression model where age is regressed on the gene expression profile. To combine multiple correlation test statistics across the data sets, I used the metaZ statistic

${metaZ} = \frac{\sum\limits_{s = 1}^{{no}.\; {dataSets}}{w_{s}Z_{s}}}{\sqrt{\sum\limits_{s = 1}^{{no}.\; {dataSets}}\left( w_{s} \right)^{2}}}$

where w_(s) denotes a weight associated with the s-th data set. All data sets received a weight of w_(s)=1 but the weight had a negligible effect. Under the null hypothesis of zero correlation, metaZ follows an approximate normal distribution under weak assumptions, which will be outlined in the following. First, metaZ follows approximately a standard normal distribution if each individual Z, follows approximately a standard normal distribution since the data sets are independent. Second, even if individual Z statistics do not follow a normal distribution, one can invoke the central limit theorem if many independent data sets are being considered. Names of the Genes Whose Mutations are Associated with Age Acceleration

Mutations in the following genes either increase or decrease DNAm age.

AKAP9—A kinase (PRKA) anchor protein (yotiao) 9

CHD7—chromodomain helicase DNA binding protein 7 [Homo sapiens]

CTNND2—catenin (cadherin-associated protein), delta 2

DMBT1—deleted in malignant brain tumors 1

DSG3—desmoglein 3

FAM123C—family with sequence similarity 123C

FAT4—FAT atypical cadherin 4

GATA3—GATA binding protein 3

KCNB1—potassium voltage-gated channel, Shab-related subfamily, member 1

LEPR—leptin receptor

MACF1—microtubule-actin crosslinking factor 1

MB21D1—Mab-21 domain containing 1

MGAM—maltase-glucoamylase (alpha-glucosidase)

MUC17—mucin 17, cell surface associated

MYH7—myosin, heavy chain 7, cardiac muscle, beta

RELN—reelin

THOC2—THO complex 2

TMEM132D—transmembrane protein 132D

TTN—titin

TP53—tumor protein p53

U2AF1—U2 small nuclear RNA auxiliary factor 1

Is DNAm Age a Biomarker of Aging?

The American Federation for Aging Research proposed the following criteria for a biomarker of aging (reviewed in {83-85}):

1. It must predict the rate of aging.

2. It must monitor a basic process that underlies the aging process, not the effects of disease.

3. It must be able to be tested repeatedly without harming the person.

4. It must be something that works in humans and in laboratory animals.

I will address these criteria in reverse order. DNAm age probably meets criterion 4 if chimpanzees are acceptable as lab animals (given my results in FIG. 4). There is a good chance that it meets criterion 3 (given my results in blood, saliva, buccal cells, skin) and criterion 2 (see my EMS model of DNAm age and the vast literature on aging effects on DNA methylation levels). Large cohort studies will be very valuable for addressing criterion 1. These studies need to test whether a measure of DNAm based age acceleration will, in the absence of disease, better predict functional capability than chronological age {86}.

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Example 9 Coefficient Values for the DNAm Age Predictor

This example provides information on the multi-tissue age predictor defined using the training set data. The multi-tissue age predictor uses 354 CpGs of which 193 and 160 have positive and negative correlations with age, respectively. The table also represents the coefficient values for the shrunken new predictor that is based on a subset of 110 CpGs (a subset of the 354 CpGs). Although this information is sufficient for predicting age, the software posted on [45] is recommended. The table reports a host of additional information for each CpG including its variance, minimum value, maximum value, and median value across all training and test data. Further, it reports the median beta value in subjects younger than 35 and in subjects older than 55.

Example 10 Description of Cancer Data Sets

This example describes 32 publicly available cancer tissue data sets and 7 cancer cell line data sets. Column 1 reports the data number and corresponding color code. Other columns report the affected tissue, Illumina™ platform, sample size n, proportion of females, median age, age range (minimum and maximum age), relevant citation (TCGA or first author with publication year), and public availability. None of these data sets were used in the construction of estimator of DNAm age. The table also reports the age correlation, cor(Age,DNAmage), median error, and median age acceleration. The epigenetic clock was applied to many different cancer types and cancer data sets. The last columns of Example 10 show that DNAm age has only a weak relationship with chronological age in cancer tissue.

Example 11 Cancer Lines and DNAm Age

This example reports the DNAm age and age acceleration for 59 cancer cell lines. The epigenetic clock was applied to many different cancer cell lines. It turns out that the DNAm age changes greatly across cell lines.

CONCLUSION

This concludes the description of the preferred embodiment of the present invention. The foregoing description of one or more embodiments of the invention has been presented for the purposes of illustration and description. It is not intended to be exhaustive or to limit the invention to the precise form disclosed. Many modifications and variations are possible in light of the above teaching. It is intended that the scope of the invention be limited not by this detailed description, but rather by the claims appended hereto.

All publications, patents, and patent applications cited herein are hereby incorporated by reference in their entirety for all purposes.

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TABLE 3 Listing of 354 CpGs Set This Table provides sequence and methylation residue information (in brackets) for the 354 clock CpGs of the present invention. Further explanations of these sequences can be found, for example, on the Illumina ™ website, under Technical Note: Epigenetics - CpG Loci Identification (Search: “res.illumina.com/documents/products/ technotes/technote_cpg_loci_identification.pdf”). Briefly, these 354 CpGs correspond to Illumina probes specified by so called Cluster CG numbers (see Table 1 in the Illumina ™ Techical Notes). For convenience, the genomic coordinates of these clock CpGs and the gene names are also provided. SEQ ID Sequence with the CpG Chro- NO. Probe site marked with [ ] mosome Position Gene   1 cg00075967 GGTGTGGCCAGGAGCCACCCCCACCCC 15  74495354 STRA6 CGCACCTGACTTCACACACATACCTGC CTTCAG[CG]CCTGCCCCAGAGCTCCCA AGCCCCTGCCCGCCACATCTGCAGTGC CGCACACAGACAGGA   2 cg00374717 AAACCTTACAGAAACATGAAGCCCTCA 17  66303145 ARSG ACCATCTGCTACTCAGTTATTCGGGGC TGACGG[CG]GCTTCTAGAACATCCAGG TGTTCTGCAGATGCGAGAACTCATCCT GTAGTCACCAGATGG   3 cg00864867 AGTACAAGACCGTATTATTTGAGAGAA 12  80085268 PAWR AGTCTCGAACGCTGCTGGCTAAGGGGA AAAGTG[CG]ATAACTTGTGATGATTCA GGGAATGACTAGACAGGATGGGAAAA TACCCACGTGTCTCTT   4 cg00945507 TGGGATTACAGACGTGAGCCACCGCGC  7  54827677 SEC61G CCGGCCATGTTTCCTTTTAGCAATGGA GCATAA[CG]GGATCTGAGGAACAATAT AACTCAGGAAGAGCTGATGGAACATT AAGACGTGTTACAACT   5 cg01027739 CCTTAACTGTAGCTAAGCTTCCACTCTT  9 131842738 DOLPP1 AAGTATCAATTAAGCTTCTCTGTTCAG TCCAG[CG]TTTAGGGCGCCTACTGCGC GCCCCGCCCCACACACTTTTGACAAAA AGGTCGCCTGCTCT   6 cg01353448 GCCCAGCCTCGGTGAGCACACACGCCC  7  31726912 C7orf16 TCCCTGTCTCTCGCCTTCGCTTCCCTGC ATCTG[CG]CTGATTGGTAAGTGCTTCA GATTTTTACTCCAAGAACTTTTGTGGTG AGAAAAGCAAGTT   7 cg01584473 CAGGGACCAAAGGTCTCTGGCACCCAT  7 100663367 MUC17 TTATTTATCAGTTTCCTTCTCTGAGGCT CATTT[CG]CCAGCTCCTCTGGGGGTGA CAGGCAAGTGAGACGTGCTCAGAGCTC CGATGCCAAGGCCA   8 cg01644850 ACAGCACCTCAGAATACAAGTTCGCAG 19  58193231 ZNF551 AGGTCAAAGCAGTGGACACACTCCGA AGAGCTC[CG]TGGAGTTTTGGAAACTA CATTATCCAGAGTGCAGAGCGCAAAAC GGCGGCGGAGTTGAGC   9 cg01656216 CATGTGCATAATACTGTGGAAATTAGT 10  31273710 ZNF438 AAACAGTCACAAACAAGTGATTCATAT TCAGGG[CG]CAGCCTTTTTGACAGGAA AACAGTAATCAAGAGTTTGGGATTTGA AGATTTTTAAAAGGA  10 cg01873645 TTGGTTTTCTTTCCCCTCATCCTTTTGC  9  74526649 FAM108B CTGCTCCCGGCGAGGGGTGGCTTTGAT 1; C9orf85 TTCGG[CG]ATGAGCTCCCAGAAAGGCA ACGTGGCTCGTTCCAGACCTCAGAAGC ACCAGAATACGTTT  11 cg01968178 CTGCAGCGGCCCCGTTTGCAGGGCAGG  2  86565038 REEP1 GACCCGGGTGCTGCCCCACCCTCAGCG TTCCAG[CG]GAGAAACTGAAGTCCGAA CCTGAACCTCGGGAATCTGTCTGCACC TGTCTAGGTGGGATG  12 cg02085507 CTGGGGGAGGGAAGGCAGGATGCGGT 19   6739192 TRIP10 GCGGGAGTTAATGGACCTGGCCTTGGC GAAGGCG[CG]TCCTGGGTTGGATCGAA ACCCTCTCATCCGCCCTGTGGCCGGAG GGACCAGACCATTAGT  13 cg02154074 TGGGGAACGCGAGTGGGGACAGGGGG  2  74756234 HTRA2; GCCTTCAGCTGGGCCCCAGGGAACCGC AUP1 CCCGTGG[CG]CTCTCGGCCTCGCTCTC ACTCACGGTGCTACAGGTGGTAAGCAA ATTGACTATGTTGTGG  14 cg02217159 TATTTCCGATGACCTACATCTCAGGGA  6  62996697 KHDRBS2 CGCAGTAGGATGTTCATTGATAAACAA ATAAAG[CG]GCTCGAAGAAATATTGTG CAGAGACATGATTGAGGTGTACAATCA TTAGGATATTGAATT  15 cg02331561 CAGCGGCGGTAGCCGAGCGAGGGCGC 16   2391081 ABCA17P; GGTGGCCTCTGACAGGAATGACTCTGC ABCA3 GCACGTG[CG]TTTCGCAGCAGTGGAAG TCTTCACACCCGGAAACTCGACTTTGG CCGTTTCTCCATTTCT  16 cg02332492 CGGGGCAGCTGTCAGTGAAGCTCTACG  9 139840678 C8G GTATGTGGGGGCCAGCCTCTGTGACCA GGCAGG[CG]CTCAAGCTCTGCACACTC ACTGGGCCACCCCGAGGGGCTGGGTG AGCCCATGGGGACACA  17 cg02364642 GGGTCGCTGTGCCTGTCCCCGTGTGAT 12  58005758 GEFT CCGAAAAGTGCTGGCAAAATGCGGCT GCTGCTT[CG]CCCGGGGGGGACGTGGT GAGTGCCAGGTCGAGAGGGTCCAGTGT TGAGTGGGGGGCGGGC  18 cg02388150 AACCTATGAAAATAAACAAAAGCTGCT  8  41165699 SFRP1 CCAAGCATTCTCTCGGCCTTTCTGAACT TTCTA[CG]CTTTGGGTTTTTGTTTTTTCC TCCCGTCTCAGAGGTTAAAAACTTCGA TAGGGACTCGGA  19 cg02479575 GAGGGACAGCTCTCCACCGACCGAAG 19   4769653 MIR7-3; GAGGAGAATGCTATTTATTTCAGCACC C19orf30 AAATATC[CG]GACAGCGCCTCTCGGGA GGTCCGAGAAGAGAACCGCGATCTGTT TCAGCACCGGGGCTCA  20 cg02489552 CTCCTCCCCCCACCTCTGGAATTCCACC 19  15121531 CCDC105 TCCCTTGTTGCGCCCATCGCTATGGTG ACGGG[CG]CTCTCAGTACACTGTCTCT ACAGGCCAGGAAAGAGTTGTGTGTCTT TGGGGTCCCTTCCG  21 cg02580606 AACCTAAATTTTGGGAGCACCTACTCT 17  39526726 KRT33B GCATGAAGCACTGTGCTCCATGCCTGT GCACAG[CG]TGACTCTGTCATTGGTGA TGGGTCCTGCTTGCTGAGCCTCCACTG TGCACCAGGCACAGT  22 cg02654291 GCCTCGAAGAGCATTATGGCCGTAGAT  9  86572014 C9orf64 CTGGGTGCTGAGGACTGAGCCACCCCC AGACTG[CG]ACATGGGCGGCGGTGCCT CCTTCCCCAAGCCCCAGGGAGTGTTTT TTTGTTTGTTTTGTT  23 cg02827112 AATTGTTGCGGCCTAACAATGAAGCGC  4  95129403 SMARCA AGCCATAACAGTCCTGAGCCACTGGCA D1 TGTTTG[CG]GGCCCTTTATTGCCTTGGG AATAAACTGCTGTGGCATTGTATCGTA TATTGTTTTCATGG  24 cg02972551 ACCCTTTCCTGTGAGATTCTTCCGCCAA  2  86668068 KDM3A GTGGAAGGCTCATCTTCGGTCGACAGC CTACG[CG]GTTGAAGAACAATCCAGTA GGCACTTATAGCTCAGGGTCTCGCCAT TCAGTCTTATCTAT  25 cg03103192 AAGCTAGAAGTAAGAAGTACTGAAAT  4  52917271 SPATA18 TTTAGTTACAAGTTTCATACAGGTAAA CCCAAGG[CG]CTACAAATGAAGAATTA AAGGAATGAAAGGCGAAAGAATAAAG GGGCCAAAGAGGTGATC  26 cg03167275 GCCTGGACGGTGTTAGTCTCCTGGAAG 21  18886093 CXADR CAGCTCGCCCAGGCAGGAGCTGCTAAC CAGACG[CG]CATTGTGAAGGAGACCGT GGAAAATCAAAAGTGGGTTCCTGCAA AAATGTAGCATTGGTT  27 cg03270204 AAGAGAGTGGGCCCGCCTTCAGGGTCT  6  30851638 DDR1 GGGGCCTTCCAGGTTGGGTCGTAGGGG CGGGAG[CG]CACAGGCTGCGAGAGAG GAGCAAAGGTTGGTGGAGGGAGAAGA GCAGTCTGGGGCCTGGC  28 cg03565323 TTTCCTAGAGGAAGAATGGGCAGGGA 17  16472866 ZNF287 AGATGTGGGTCTAAAGGCAGAAAGAC TTAATGTG[CG]GTTTCGGGCTTTACTGT GCATACATACTAACTGTGAAAGGTTTT CACTTCCTCCTCAGGA  29 cg03588357 GCCAGCGCGCACGCAGATGGCGGGGT 14  91720173 GPR68 GGCCTGGGGAGGTCTTCGGGTCCCTTC CTGGGAA[CG]CAGGGCCAAGTTGTGCT CCGATTCCACGCCCCCCCCACCCACGT CGGGCACACGCAGCCC  30 cg03760483 ACAGCCGGCTCTACCGCTCTGCTCGCA 17   6899297 ALOX12 GGTTTGGGCTAGTCTGGGGCGGGGACT TGGGAG[CG]CCTAAAACTTGCGAGGA GGGCGGGGCCGCAGACCGGTCCTTTAA AGGTTGGAAGTGGCCC  31 cg04084157 AGGGTGCCTGCCTCTCCCGGCCTGCGC  7 100809049 VGF CTGCGCGCTGGGGCCTTCGGCTGAAGG GGTGTG[CG]CTAGCGGAGCTCCGGGAA ATGAATGAATGAATGAATGAATGAAAT GCTGAAGCGGGCAGG  32 cg04126866 CTCCACCAACAGGAGCTCCTTGAGGCG 10  85932763 C10orf99 AGGCACAGTGTCTTCTGTGTCCCTGGA GCCAAG[CG]CATGGCTCAGCCCAGGTC ACGTGTCCAGTGAATGGGTGGCATCTG AGCCTCCTGCACCTG  33 cg04528819 GCAGCCCGGGAAGGGGCATTGGTGGC  7 130418315 KLF14 GCTTGGCAGCAGGTGTGACAGACCTCC TCCGGGG[CG]CCTGATCCGCGGCGGGG GCGGGGCCTGCCCCTAGGGCCCCTCCA GAGAACCCACCAGAGG  34 cg04836038 CTCTGCGGGGACAGAGGTCTCAGGAA 13  99739382 DOCK9 AGTAGCCTTTATTTATGTGGCACCGAT CGGAACC[CG]CGGCCGGCCAGGCGGA CCTGGACGGAGCGTCCCTGCTCGGAAC CTGGCGCGGGGCGCCGC  35 cg05250458 TTAATTGGCTTGTGCCTCTTATTTTACT 19   9473565 ZNF177 CTAATGCAATGAATAAAGACAGTCCCA GCCTT[CG]CCCTAAGGGAGCAGGAGCA CCTGCGATGCCCCGTTCCCAAGTCCTC AGGGCGAATCCGCC  36 cg05294243 GATGTCTCCAGGCACCCCCGACCTGGG 19  51569106 KLK13 CTTGGCCCTCTGCTTGGGGCGGAGCTT CCAGGA[CG]TGCTGGGACCTAGGTCTG ACCCCGCCCAAGGCAGAGTTGAACCCA CTGTGAACTTTCAGG  37 cg05365729 ACATAATACACGCTCAATTAAAGCTGC  8  23262073 LOXL2 CGAATGAAAGTGTTCAGAAACTTGCAC CCATCT[CG]CCTGGGTTTCACCTCCCTT TTCCTGTAGGGGGAAAACCGATCCTGA ACCAGTAAATAAAC  38 cg05675373 AAGGAGGAGATGGCCAAGGGCGAGGC  1 110754257 KCNC4 GTCGGAGAAGATCATCATCAACGTGGG CGGCACG[CG]ACATGAGACCTACCGCA GCACCCTGCGCACCCTACCGGGAACCC GCCTCGCCTGGCTGGC  39 cg05755779 CCTGGTACTATTTCTTTTGCAAATTCAG  8 120079625 COLEC10 AGTCTGGGTCTGGATATTGATAGCCGT CCTAC[CG]CTGAAGTCTGTGCCACACA CACAATTTCACCAGGACCCAAAGGTGA GGAAAGAAAACCAC  40 cg05921699 AAGAATTCCAGTAAAGAGCTGATCATG 19  42380725 CD79A GTTCTCACTCCTTGAATACCAGGAACA CCATCT[CG]TATCACATAATGAGACAG GGAGACATTCTGGTCCTCATCTCACAG ATGAAAAATGTCAAG  41 cg05960024 CAAGGAAAGTAGCAGATCATTACCCA  4  56376020 CLOCK AGTATTTTTATAATTCCTTGTCCTATGC TTCCAC[CG]GTACACTGCAAATTCCAC CCAACCATGATTAAGGGAAAAGAAAC AAAGATAGCATACCTT  42 cg06121469 CCAGTCCCACTCTGCTTAACTGCTCTG 15  44956098 SPG11 GCATGCTTGAAGGCCTAGCTTAGCGTA GCAGGC[CG]TTGCAGCCGTTCTCGCTC TGTGGCATTGCTCTTTGCCTTCTTGGTC CAGCTGCCTCCAGC  43 cg06144905 CTGACCTCACCACCCACCAGGGAGGTG 17  27369780 PIPOX GGTCTTATTCTGGGCATCGTGCCAAGT TCTTAG[CG]GGGCCCTCTAGAATCTCT AAAGCAAATCAGGCTGAAGAGGGGAA AACCAGCAGGGGGAGG  44 cg06361108 GGTCAGCGTTCCGCGGGGGAGACTTCC 16   2478781 CCNF CAGCGTCAGCTCCGACCTCCTCTTTCTC TACCA[CG]ATCCCGGCCAGCATCCCCG CCCAGCAGCGGCTCAGCCACAAACCCA AGGGTCTCCACCTG  45 cg06462291 TCTCTCCGCATTAATGGCCTCTGGCAG 12 104235479 NT5DC3 TCTAATTAATGGCAGTCTGGACCTCCC CTGGAT[CG]TGGGGCCCCTCTGAGACG TCCCCGATCCCCAGCTTAAATTTATCC AGGAGGACCTGTGAG  46 cg06493994 GGAGAGCAAGTCAAGAAATACGGTGA  6  25652602 SCGN AGGAGTCCTTCCCAAAGTTGTCTAGGT CCTTCCG[CG]CCGGTGCCTGGTCTTCGT CGTCAACACCATGGACAGCTCCCGGGA ACCGACTCTGGGGCG  47 cg06557358 AGCATCGAGACAGCGGGCGAACGGGC 17  32907002 TMEM132 GTCCGGGGACAGGGTGGGGGCGGCGG E; GGAGGAGG[CG]TCGGAGACTCTGAAC C17orf102 CCCAGAAAAGTTCAAGGTTTGTGCAGG TTCCCCCAGGGAAGGCGA  48 cg06738602 ACTTCATTGTTTGGTGAGTTGCTTTGCT 14  52780634 PTGER2 TTGCTCGTTGCCCCGATCTTCTGTGTAT TCTG[CG]CAGACCCCGCAAGTGCTCCT GCACTCCCTCCCAGCCCTCTGCTGGGG CTTAACGCTTCCC  49 cg06810647 TGCCGCGGGGGAGAGGAACCCCTCGC 16   1665094 CRAMP1L CCCAGCCGGGCTCCACCCTAGCTCACC CATCCCG[CG]GCCTACACTGAGGCTCT CAATTTGGGTGGCACTTATGGGGCATG TGTCCCCTCTCTCCTT  50 cg06952310 TGGCATGGGCTAGAGAATAAAATGAG 19  19327990 NCAN AATAGATTTTAAAAGGTCTTTGAACAG TCAAAAG[CG]AACAGGATACCTAAGA GGTTATTTTTAGTCATTGTCAGCAGAA GCTGGAGATTCCCGCCT  51 cg06993413 GAGGCGCGGGGTGGAGACTGGGCCGA 15  65810204 DPP8 GCAGGGGATAGAGATGAACTCCAGAA AGGAACAG[CG]ACTTGCTGAAAGTCAC AGGGCAAAATGTGGCGCGTCTGTAGTC AATAAATAATATATATT  52 cg07285276 GGCCTCAGGTCTTTCTCCCAAATAGCA  9 134613015 RAPGEF1 GAGAACTCAAATGAAGAGTCATTTCAT TCCCAG[CG]GTTTGGGCAGCTCATGGG ATGACAGGCAACTTTTTCCTTTTTTTAA AAAAAGAGGCCCAG  53 cg07291563 CGCTACGCGAAGGGGAGGAGCTGGTC 19  48949441 GRWD1 ATGGACGAGGAGGCCTATGTGCTCTAC CACCGAG[CG]CAGACTGGTAGGGCTG AGTCCGGACTCCAGGGTCCTGAGGTGG CTGATCCCGAGCCTTTA  54 cg07337598 GGCTGTGTTTAGACCTGAGGGAGCCAG  1 150953943 ANXA9 CTGTGAGGCTGGAGCAGTTGCTGCATG GCGGGG[CG]GGGGCTCCACAGGGCTG TTCACCTGCTGCTCTGTGCAGAGACAG CCTCAAGTCCAGCTGC  55 cg07455279 GGTAACAGAGCACTGTGAGAGCCCGC 19  54605703 NDUFA3 AGAAAGCTCCTAACCCATCTGGGATGA GACCTAG[CG]CTTCCAGGACGAGCCGA TGTTGAGCTGAGACCTCGAAGGACAGG TTAGTCATTCACCTTC  56 cg07595943 CTTCGGCTTCTCAGGGCGCTGACGACG 16  84224901 ADAD2 ACGGCAGTCGTAGGAAGCCCCGCCTGG CTGCAT[CG]TTGCAGATCAGCCCCCAG CCCCGCCCCTGGCGACCGCTACCCGCC CAGGCCCAAAGTGCC  57 cg08030082 GGCGAGGGTGAAGTTACCTGCGTGCGT  2  25391839 POMC GCTGGGGCTGGCATCTGCCTGGTTCGC ATTTGG[CG]GTAAATATCACCGTCTGC ACACGGGGAGGCCTCCGATTTCCCCAT TGTTTGGAAACTGTG  58 cg08090772 TCTTACTCCGTGGGAAAATGGCCCTGA  8  67344640 ADHFE1 GCCCGACTGGCTTGAGGCTTAGACAGG TGACCC[CG]CGAAGCGGGTGGGCAGG CGCGGCCGAGGGGCGGGAGGCGGGCA GCCTCCGTGATTGGCCG  59 cg08124722 CTTCCAGCAGAATTTGGGATCAGGGTG 17  32597714 CCL7 ATCAAAGACAGGAGGCTTCTGGGGAT GGGTGTG[CG]GGCTGTTTCCAGATACC GGGAGACCCAGAATCTGGTCTGTGGAA GCCCAGCTTCCAGAAA  60 cg08251036 ATCTTGTTCACTGTTCAGTCACCAGGG  2 135008923 CCTGATGGCCGCTCATGCTCAATATAG ACTTGG[CG]CGGAGCGGAGTGGAGGA AGGAAAGAGGGCAGGTGCTAGTTGGC TGGCCTGCAGTTAGAAG  61 cg08370996 CCCTCCCGCGCCCCCCTTTTTAGCATAT 15  96874031 NR2F2 TTGATCACTTTGATTCTCTGTTCTTTTCT CTC[CG]CGGTGTGTGTGTGCGTGCGCG CGTGTGTGTTTTCTTCTTCTCCTCCTCC TCTCCCCGAGT  62 cg08413469 GCTGCGTCCTGGGGCTCCAGTAGCTGG  1  68962940 DEPDC1 CGCGGGCTGGGGTGGGCTGGGCTGGCC TGGGAC[CG]CCTCGATGGGACAGGCTC GGGTTTCCCTGGCGCTGTTTCTCCCTCC TGCGGTCTACGGCG  63 cg08434234 AGGTGCCCAACTCCGCGGAAGCGCCCC  7 137531173 DGKI TTGCTGGGTAGAAGAGTGGGTCTCCCG CCGCGG[CG]CACCTGTCTCGGCTGCCG GCTCCCCGCACCTACCTGTACGAGACC TGCTTCCGGAAAGTT  64 cg08771731 TGAAAGCGATCCAAACACAGCCAGAG  5  17216434 LOC28569 GGCGCCAAAATGCCGCAAATAAAAGT 6; BASP1 TCCAAAGG[CG]TCAACTGGCTTTTGCG GGAAGGTAAAATTGGCTTTTGTGTAAT CAAAGAGCTACCGTTGT  65 cg08965235 ACCCACGCGGAAGCCGGAGCCCGTGA 11  65325158 LTBP3 GCGTGTCTGTGCTGTGGCCGTTCTCTCC GATGAG[CG]TCATGTTGGAGCCCTGCT GACAACTGTCCCGACACTGGCCCTTGA GACAGGTCCGCTTGC  66 cg09019938 CTGGAGTTGGATCAGAAGGACGAACT 10  52834498 PRKG1 GATCCAGAAGCTGCAGAACGAGCTGG ACAAGTAC[CG]CTCGGTGATCCGACCA GCCACCCAGCAGGCGCAGAAGCAGAG CGCGAGCACCTTGCAGGG  67 cg09118625 GCAGGGCGGGCAGAAGCCGCAACCGC  1  68512971 DIRAS3 TTCAGCAGCTTCTGTTCCTTGGAGCCA AAGCTGG[CG]TTACCCATCGTTGGGAT TCGGAGGGGAGATACGTGCACAAGTTC TCCCACACTTAGCTGG  68 cg09191327 GCTCCGTGCTCCCGGCTGAGGCCCTGG  9 133540108 PRDM12 TGCTCAAGACCGGGCTGAAGGCGCCG GGACTGG[CG]CTGGCCGAGGTTATCAC CTCCGACATCCTGCACAGCTTCCTGTA CGGCCGCTGGCGCAAC  69 cg09418283 GGAGCTTGTAGGGGACGAGGCGTAGG 12  80084718 PAWR GCTGGGATCCGGCTCCCAGGTGTGCCG AAGCTGG[CG]CGCGCTCTTCCGCCGCG CGGAAAGTGCCGCGGCAAACTCGCGG TGCGGAGCTCCAGGCAA  70 cg09509673 CCACAACCCCAGCCTCACACCACCAGC 17  40833697 CCR10; CCATTTATCTGGAGGACCCCTAGTCTG CNTNAP1 AGACAG[CG]CCAAGAATCCTGAATAA GCCATAGGATGGCAGAGGCCCATTGCC AGGTGGGGAATCCCAT  71 cg09785172 GGCTCTTCAGCAGCGAGTGCAGATTGC  4   6271658 WFS1 TCCCCCGCGGCCGCAGATCTCCCGTTT GCGCCG[CG]TTCAGCTGCTCCCGAACA ACTTTTCTGCCGGCCCAGAGGCCCCAG GGCGTCGCAGCGCCG  72 cg09869858 GTTGGATCTGACAATCCCTTCCAGGTT 12  48120416 P11 CTCAGACTTTAATCTCGAGTTTTCCTGC CCATG[CG]CCAGGTTGAACAGTTGCTG GTGGGTTAAAGAGAATCCCCCAGCCTG TTGCTGTGTAGAGA  73 cg09885951 GTAGAGGGCTTGTTTTTAAAATCCATC  1 214776469 CENPF CGAAAGGGCCAATCAGACGCGGCAGT CTGAGTG[CG]CAGGCGCGGATTGGTCC GCAGCTACTTAGAGTGACCAATAGGCG TGGAGGTAAGTTTGGT  74 cg10281002 TTGGGATGCGATAACTCAGTGCCCTCT 12 114846399 TBX5 TGCAGACTTGCATAGAAATAATTACTG GGTTGT[CG]TGGAGGGGACACGAGAC AGAGGGAGTTCTCCGTAATGTGCCTTG CGGAGAGAAAGGTCCA  75 cg10376763 TCAGGTCTCCTTGGCAGTTCCCCTTCTG  2 217724363 TNP1 CTGTTCTTGTTGCTGCTTGGTGCTGTGT GAAG[CG]CACCAGGGCAGAGCCCGCT GGGGGCTCACAAGTGGGAGCGGTAAT TGCGATTGGCTGTGG  76 cg10377274 AAAAGGAAAAGGAGGAAGTGGAATGC 11 125616888 PATE1 TGGCTTTTCAGGTGTCGCTTGGCCAAA TCTAAAG[CG]TGGCAACTTCAGGAATT TCAGGTTGTCCCCATTGTCAGATTCCA GGCACCCACAGGTAAG  77 cg10486998 CGACCCATCCCGCTAGAATCCGTCCAG 18  74961787 GALR1 TCTCTGCTCGCGCACCGTGACTTCTAA GGGGCG[CG]GATTTCAGCCGAGCTGTT TTCGCCTCTCAGTTGCAGCAGAGAAGC CCCTGGCACCCGACT  78 cg10523019 CTCGCTGCTTCTCCCCTAGTCTTCGGGT  2 227700458 RHBDD1 CCCTTGAACGCAGGTCGCTTGTTTGCC TTACG[CG]TAGTCAGCGGCCAGTGGCT ATTTATGGCAGTAAGGAATATTATCCA CATTTCACATGGAG  79 cg10920957 TACCTGTTGGCCAGGGCGCAGGGCGCA 16  87635473 JPH3 CGGAATTCGGGTGACTTTGCTCCAAGA TACACG[CG]TGTGTCCCGACTCTCACT CAATTTATAGGGGAGAGGGACTCGCCA AATCCCTGTTTTCTG  80 cg11932564 CCCTACACACGGAACTCACCGTCCTTG 22  42322146 TNFRSF13 TCTCCGTCGGGGGCCTCTGCGGAGGAC C GCGCCG[CG]AAGCCGCCGCTGTCGCCG CCTCCAGCTCACCAGACCCACCAGGAC CAGCGCCAGGACCAG  81 cg12351433 CCCTTCCACACACCCTTCCCTGCCGGC  2  48982957 LHCGR CCGCCCCTGCCCTCCCCCTCTTACCGCG CACCC[CG]CTGAGTCTGCTCTGCCTTG ACCTGCGACAGTGCCCAGTGACCCAAT AACCTCCTTCCTGC  82 cg12373771 TGGCGATCCAGGAGCACCAGTACAGGT 22  17601381 CECR6 CGGTGACGGCGATGAGGTACAGGTCC AGCAGGC[CG]CCCTGCGCCAGCAGCA GCACCACGGACAGCGCCTGGTAGCCCC AGCGGCACCTGGGACTG  83 cg12768605 TTTGGGACGGCGCGTCCCAAGGGTTTC 19  44324951 LYPD5 TGGAAGTTGTAACCTGTGCTCCGAGTG CGTAGG[CG]CAGGAACCCTTCGGGGG AATCCCTTTAGCAGGGAGCGTATATTG AAGAGTGCGTGCGGAG  84 cg12830694 CCACTGGCCCGGTTCAACGAATATCTA 19  38747796 PPP1R14A TTAAGTATCCACTCTATACCAGACACT GCTTTA[CG]CTCCAGGGATAGAGCAGG GAACAAAACAGACAAAACCAGTCCCA CGCAGTTGACAGTTGT  85 cg12946225 CCGGCGGGCGGCAAGGCTCCGGGCCA 19   3573751 HMG20B GCATGGGGGCTTCGTGGTGACTGTCAA GCAAGAG[CG]CGGCGAGGGTCCACGC GCGGGCGAGAAGGGGTCCCACGAGGA GGAGGTGAGAGTCCCTGC  86 cg13038560 GACCTCAAGTGATCCACCGACCTGGGC  2 200819113 C2orf60; CTCCCAAAATGTTAGGATTACTGGCAT C2orf47 GAACCA[CG]GCGCCCAGCCCATCCGAC TTTTGTAACACTCAGAATTGTAGTTTTG TTTGTTTGTTTGAG  87 cg13216057 TACCTGGGGTGGACCAAGCACAGGTCA 11  12030643 DKK3 GCCCCCTCCCCTTGGCGTCGGGTCCTA CTCGAG[CG]CCCCGCCCCACATCCACC AAGAGAGGCTGAGCTCAGCAGAGTCG TCCCCTCCCCCGCCGC  88 cg13319175 AGAAAGCTCCCTCACCGGCTCCCCTGC  1  19746564 CAPZB TCCTGCTCAACAGGCCCTGGTGGCTGC AGATGT[CG]TGCCCCCCAGTTGGTTCC ATGGTGAACACACTCCAGTAGCGGATT ACTTTTGCCCTTTGT  89 cg13460409 ATCTCTCACCTTGCTACTTTCTCGGTAG 21  38379570 DSCR6 CCGTTTCTGTTGTCCCTGGATTGGGGG CTCGG[CG]TTCGCTGTCCCTGGGCACC AACCCTTTTAAAGACAGTAACGTTGTA GGAAATCAAATTAG  90 cg13682722 AGTGGTTGGGACCCTGTGAGAACCGGA 14  90798568 C14orf102 ACTGCGAAAACCGGAGAAGGGAATTG TTGACCG[CG]AAAGGGACTAAGGAAA TTGGGATTCCAGTTCGACCCCTAAATT CACACCATCCTTGCTAA  91 cg13836627 CCTCACAGGCTGAGTGGAGTGTTTTGC 15  30113723 TJP1 AGTCTCAAAGCCTTATCGCTGGCGTGC GCATAC[CG]CAGGGAGTGACATCAGAT CGAAACTACAGGGTTTCGCCGGGGACC AACCACTCCTCCAAA  92 cg13854874 AATAATAAATAATAATGAATCCATTCT 21  37757525 CHAF1B TCCTTCGGTCGTGGGTCTGGCAGGCAT AAATTC[CG]GCCGGGATTCCGACCCCA GGGCCAGAGCAGGACTCGCCTTGGCGT CTATGAGTGGGCGGG  93 cg13899108 GGGCTGAAGAGACCCCCCCCCAACAC 19  18344322 PDE4C ACCAGCCCCGAAAACCGTCTGCCGTCC CCTATAG[CG]CTGCATGGAAAAGAACC AAGACAAGGACTTGGAGTGGAGAAGA CAGAAATTGTCCACTGA  94 cg13975369 CCATTTGAGGGCAAGGGCTGTGTCTTT  7 130080553 TSGA14 GGGTACTTCGCTCCTCGCAGTCACAAG TACTGG[CG]TGCGTACGCGGGGAGAG ATCGCTCCTCAAAACGGGGTCCTGAAC GCTGCCCCGCGGCCCC  95 cg14258236 GTCTTCCCTCTGAGGACTGGATCCTCA  6  29323330 OR5V1 AGATGGTGGAGATTATGCAAATGTAGG AAAGTA[CG]ATACAAAGGAAAGGAGT CCAACCAATGAAGACCCCAGTGGATA GCAGTGCCAACTCATTG  96 cg14308452 CTGGGGGCCTGTTTGGGAGATGCCACA 19   5784184 PRR22 AGAACCTTGCCATTGGGGGGCCCCTTT GGGGGA[CG]ACATAGATATTGCTTTGG GGCCCTGGCTGGGTGATGGATGACACA GAGCTTGTCTTTGGG  97 cg14329157 TTCCTTTTGGGAAACGCAGTGTGCTAA  2 228736135 WDR69 AAAAGTGCATGCAGCCCAGGCTGTGGC CTAGGC[CG]TCGGTTCCCGGCCATGCC TAGCTCCTCTGAGGTCGCCCTTAGTGA GGACACGAGGTGCCC  98 cg14424579 TAAGCGATAAGGAGTTTCACACGATGT  2  27274309 AGBL5 CTTTTTATTTCGCAGTTGAGTCCCAGTT TCTGC[CG]CTTTATCTTTCCCGCCTCCC GGCAGGCAGGCCGTTAACCGTCTTCCG GAAGACGCTGCTA  99 cg14501253 GAAGGGCCACGCCGAGAGAGGCAGGC  8  12809014 C8orf79 AACAAGGGCACGGCTGGAGGCCGGAA GGTCACCC[CG]TCCCCGGCGGGGCGGG CGCGGCCCAGCCTCACTTCCCGGGCAC GTTCGGGCGGGGCGATT 100 cg14658362 GAAGGGTGGGCTTAGGGCCAGGGGTG  8  30241661 RBPMS CAAATCCCTCGGTAAAAGCCGGCAAAC TAAAAGT[CG]CACACATCCCAGGTCCC GGTCCAGGCCCCGGCGGGGCAGGGTC CCCGAAGTCCCGGGGCG 101 cg14723032 CTGGGGTTCTAGGCTGGAGCAGGCTTT 17   6460572 PITPNM3 GTGGACCCCAGCGGCCTGGTGGTGAGC AGTACC[CG]CCTTCCACTTCCTAAATC GGGATGCAGAGATTCTAGTGGACAGG CCTTGTGGTCCGGGGA 102 cg14894144 GCGGACAGAGATAGAAAGGCTCTCAG 18  21270554 LAMA3 AGATCCGAGCCTCACCGCGAACACCCG GGGCAAA[CG]ACATTGCGGTGCATGTT AAGCAGCATCTTGCAGTGCCTGGCCCT TACTCACAGGTCTCAG 103 cg14992253 CTGCTGGGCCCAGGTCGGCTCATGAAC  1  32687567 EIF3I; CCGCTGCAGGCCGGCGGAGGCCCGCTT C1orf91 CAGCAG[CG]GCTGCGTGCCACCCCACA GAGCGGCCACCAGCACCAGAGCCAAC ACCTGCCCTGAATGCA 104 cg15341340 GCAGCGGGATCATAGCTGCTATGGGGC 19  12992237 DNASE2 TGAGATCCAGGAATCTGTGTCGGGACT GCGGGG[CG]CTGGGTTACATCAGAGGC CAGGACTGGCACCTGGCGCCTTTCACT TCCCTAAACTTGCCT 105 cg15381769 GCAGCCTGGGCCCCGCCGCCAGCCGCT  6 128841972 PTPRK GCTCGGAGGGAGCGAGCGAGAAAGGG GAGCCGG[CG]CAGCTCGCTGCCCTGTT CCAGAACTCAGAATTTGAGAGGCGAG AGTTCGGTAAGCCGTGC 106 cg15547534 CTCCTCCTCTTGAAAACTCTGCTATGGC  7 100034410 C7orf47 TGAGTTACCCAGAGGAATCTTAGTCCT GCTAG[CG]CTGCGATGCCCATTGCCCA GTGTGTCAGTCCTCATTCTGGGGCGCC AAATGGGGCAGCAT 107 cg15661409 TTGTTAATCTTTAATTTAATTAAAGAAT 14  57960976 C14orf105 TTATCCCCCAAATAGGAAAGAAAGCA GCGGAG[CG]GCTAAAGCGTCATTTGAT TTTTCTGTCGATGACTTGAGTTGCCTTT GAAGGGGGTGAATA 108 cg15974053 TGAGGCCGTCGCATCAAATCCTCAATA 19  49339789 HSD17B14 GAGGCTGGATCCTGGAAGTCCGGCCTC GGGGGG[CG]TTGCCAGGAAGGCTAGA GACCTGGAAGTTTGTCCCCAGCCCCTC CTCCCTCAGACACTCC 109 cg15988232 CCTTCTAGTCTCCGGGCAGCCTGGGGA  3  47621127 CSPG5 GCGGCCTTTAATCCTGGTCCCTTCTCCG GGATA[CG]TCGTCCCCCAGGTGTCTCA GACCACCAAAACTCAGGTTCCTGGGTA GACCAGGGGGGTCT 110 cg16150435 TGTGGTCTGTGGCAACAGGTGTCACTT  6  31080529 C6orf15 GAATGAATGTCCCAGAGGAAGCTGGG TGTCTCC[CG]CCCTGGCTCCTTTCCTTG ACCTCCCTGCCCCTTCTTGGCCCAGGT GTCCTGGCTCACAGC 111 cg16241714 GGCACAGCTCCAGGGTGGGCACGGCG  8  48650511 CEBPD GCCATGGAGTCGATGTAGGCGCTGAAG TCGATGG[CG]CTCTCGTCGTCGTACAT GGCGGGGGCGGCGGCGCCTGGCTCGC CTAGGGCCCCTGGCTCG 112 cg16494477 CTCCCGCCCAGCGATGTATTCAGCGCC  5 170847251 FGF18 CTCCGCCTGCACTTGCCTGTAAGCGCC CGCGCG[CG]GGGCTGCCCACCTTGCCT GGCTGTCTGTCCGTATGCCTGTGCCCT GTACCTCTGTCTGCC 113 cg16547529 CACTGGCTTGTTAACTCTTCAAGGGCA 11  75140681 KLHL35 GAATTATGGGCACCGAGCCTCTAAAAT GTTGAA[CG]AATGACTGAATATCATCA AGAGGCAGTACTAAAAGATGATGAAA GAATGAATGAGCGGTG 114 cg16579101 GCAGAAATGGGAGAAGGTGGCGTCGC 12   6677158 NOP2 GCGTGTCGGAGGGAACGGCAGAACGC ACGCTTGG[CG]TATTATAGTGGGAAAG GGCACAGCCTCAACTCAGCACCCGCAA CTCACTCAGCACTCCCG 115 cg17063929 GCCTGTTGTTGTGGCTGCTGCTGTTCAG 11  89224799 NOX4 GATGTCCCGGGTGGGAACTTGGAGGCG TCCCC[CG]CAGCCTCTACCCAGGCCTG CCAGGCTCCAAAATACTGGCAAACATG TGAACAATGCTACT 116 cg17099569 TTTAACTCAGAGTTCTTAACCTTTTCTG  2 121549866 CGCCGTGGGCCCCTTGGCAAGCAAGTG AAGTT[CG]TGGACTCCTACAATAATGC TATAAATGCATAGAAGAAAAGACACA GGACTGTGAAAGAAA 117 cg17285325 CCGTGTCTGCCTCCCGCTTCCCCGCCTC 22  50968343 TYMP GCGACTTGAGCCCCGCCCGTACCTGCT TAGGG[CG]CTGCCCTCGCCCGCTTGCT CCGGATCCCAGCCCAGGTACCCGGCCT CGCCCGCGGGTCGG 118 cg17408647 GGGGGGAAGACGGAGACTCTTATACC  7  43769049 C7orf44 GCGGGAGACTAACCTGTGAGCAACAG AAGCACCA[CG]CTACAAAGAGCATGA CGAGTTCTTCCAGGCTTGGGAAAGCAC GGGTAAATGCCCGCGGTC 119 cg17655614 AAACAAAAGAACTCAGCCAAGTGTAA 16  68770944 CDH1 AAGCCCTTTCTGATCCCAGGTCTTAGT GAGCCAC[CG]GCGGGGCTGGGATTCG AACCCAGTGGAATCAGAACCGTGCAG GTCCCATAACCCACCTAG 120 cg17729667 CGCAAATCTCAGGGCGGCTCTGGCCAG 20  25566382 NINL TTTGGAGCCTGGGGTGACCCTTGGAGC TGACCT[CG]CTGGTCCCTGTCGGAGCC CTGCGCGCTGCGGAGCTTGGCGGTTCG CAGCTCTCGGGGTAG 121 cg17853587 AGTTGCTGGCCTTCCACTTGTCTTCAGG  4 118954386 NDST3 AGCTGAAACACATGGCATTTGAAAAA AACTGG[CG]AACAGAGGAAACTCTTGC AGCCTCGCAGCCGCCCTGGTCCAGTGC CAACGGCAGGAGCAC 122 cg17960516 GAAGGAGCCCCGCCCGCGCCGGCCCTG  4   3465004 DOK7 GAGTCGCCGGTGTCGCCGCCCTGCCCG CGGGCC[CG]CCCTCCTGGCCCAGCCCA GGGCCCTGCGAGCTATTTTGAAAGTGA CCCTGGGCTGGGGCG 123 cg18055007 TCTGGCCGGCCCTGGCGACGGGGCTGC  6  31698226 DDAH2 AAACGCTTCGTAGACCTCAGAACAGCG CAACGG[CG]GACCGGCGGACCGGCAC GAAACATAGCAGCCCCACCACAAACA TTTCCCTTCTTAATTCC 124 cg18180783 AGCCAGGATCTGCCTTTTAACCTCCAT 10  75402320 MYOZ1 TTGCTGTTGAGATGCTCAGTTCAACCT GCTGTG[CG]GGATAGACATCGATGTCT CCCTGAGAAGCACATATAGGCTCTCTG AGGTTTCTTTTCTTC 125 cg18440048 GTAGCCCTGTTCCTGTCTGCCCTCCCCG 22  24093826 ZNF70 CCCCCACAGAAATAGAGATGAGAAGG GGCAGG[CG]AAGAACTAGGAGTGTCT GCGAGACCATCCCAGGACCCTGAGCCC CCCAACTCTCTGCATC 126 cg18573383 GCCGTGAATGGAGTGGAGACTGGCCG 12  75603401 KCNC2 CAGGTCAGGAGAGCTCACCACTTGAAG GTGAAGT[CG]CCCTGCTCGGATTCCAT CTGCAGATTTTGTTTCTCCCCCAAATCA GCCACTGCTGGAGCT 127 cg18983672 GGCAGCCAGAAAGGCAGCTCCAAGTT  1  47881256 FOXE3 GTGGATTTCCTGGGGGCTCTTCATTTA AAGCGGC[CG]CACCACTTTCCACAATT CTGTTTTTTCAGAGAATGCTCTCAAGG CCTGGAGGGAGGGCAT 128 cg18984151 TCCCTTGGCCTCGCTCTCTGCCCAGCCC  3  47555476 C3orf75 CGGGCTCCTTTTCTCCACACGTGGCTGT CAAG[CG]CCTTCTGTATGCCCCACACT CCTGGGAGCTTGGGCTACATCGATGAA CAAAAACAAAGGA 129 cg19008809 GCGCGCGTGCCGCCGCCGCGGGCACTG  3  53080682 SFMBT1 CGCCCGTTTGCCTGCCCCTCGTCGGGG ATCGGG[CG]CTCCCTCTGAGACCTGAA AGGGCACCCAAGTGCCCCCTGTCTGCG AAGTCCGGCGCGGGC 130 cg19167673 TTTTCTCTTTGCAGCGAGGCTGGAGGG 22  39640835 PDGFB TGGGCTTTTTTTTTTTTTTTTCCTTTTTG CGCG[CG]TATGTATGTGTGTGCGCGCA AAGTATCTCTATCTAGGGAATGAAAAA TGGGCGCTGGCGG 131 cg19273182 GGGCGGGGCTGAGACCTGCGAGAGGC  2  60983417 PAPOLG AGGCTGGGAAGCGGCGCCATATTGGC GTCGGCCG[CG]CTGTATTGTCATAAAT AGAGCCGGTTTTGTGGTGTTTTCACTA CTCGGTTGGATGCCTCA 132 cg19305227 AAAACATATAATATTTAACTTGAGAGG 15  45544335 SLC28A2 TGCAGTCCTCCTCTACATTGAGGGCAG GCTCAG[CG]AAGGAGGGCCCAAGACA TAAAACTAACCAATGGCAGGAAAGCC CCCATGCCCCACCCAAG 133 cg19346193 ATCCAGCCCATCAGTAAATCCTGTTAT 10 127513190 BCCIP; CCAGACATTTCTCAGCACTAATTCTGA UROS GACCAT[CG]TAGTCCACACCTCTATCA TCTCTTGCCTGGACTACTATTTAATGTA ACAGCTTTTAACCG 134 cg19478743 AAGCAGGAGCAGGAGCACGCGGGACC 17   4642647 ZMYND15; CGGGCCGCAAGTCCCGTCCCATCTCGG CXCL16 GGCTCCG[CG]GACTCTGCGGGGATGGA GCCACCTCGCTCTGACTCCCAGACATG CTCCGGCGCGTGACGT 135 cg19514928 GGGTGCAAACCTTTGGGCATCCAGGGA  1  95583636 TMEM56 GAGCTTTCTTGTTAGAGCCCACACACA ATCGGG[CG]CATCAAGTGGGTAAGTCC CCCTCCCCCGCCGCCACCTTCTGAAAC AAGTAGCTCTTATTT 136 cg19692710 CAAAATAAAACAGAGCCCTGTGAGTCT 11  73661920 DNAJB13 TCAATTTCCGAGTTGAGTGACCTTTCA CAGGGT[CG]CAGAATCAGCCCCAGCTC TCCCCCAGTCCTTTCACTGACTCCTCTC TGTGGCAGAGCTGA 137 cg19945840 GCGCGCCCTGGAGCGGGAGCAGGCGC  1   1168036 SDF4; GGCACGGGGACCTGCTGCTGCTGCCCG B3GALT6 CGCTGCG[CG]ACGCCTACGAAAACCTC ACGGCCAAGGTGCTGGCCATGCTGGCC TGGCTGGACGAGCACG 138 cg20295671 TCGGACGCAGGCTGGCTGGGCAGGGA 22  22090486 YPEL1 CACTCGGCCGGCGGGGCTGGCGGTGGT GGTCACT[CG]TTCCTCCGGCTCGCGGG GATGGGCCGAGGGCGTGCAGGGCCCG CAGCTCCAGAGGCTGAG 139 cg20305610 GGTTGGGGACGAGGAGGGGGCGCTCC  4  95373302 PDLIM5 TCGGGCAGGGATGGCTCCTCAGGTGCT TTCTGGG[CG]CGGAGCGGCGGAGGTG GGAGAGCAGCTTGGGAAAAGGAGCGC CCGGAAAAGGGCAGCGCT 140 cg20524216 TCGGGGGTGGTGTTAAGCAGGTTATTA  3  47555100 C3orf75 AGTTCCACGAACATTCCGAGCTCCTGG GACTAG[CG]CTCTGGAGGAGAACCCG GAGTGCTGCAGAGACGACGGAGGCTG GAGAGCAAAACACACCC 141 cg20692569 CGACCCGGAGCGCGGGCGCGGGGCTG  7  72848481 FZD9 CGCCGTGCCAGGCGGTGGAGATCCCCA TGTGCCG[CG]GCATCGGCTACAACCTG ACCCGCATGCCCAACCTGCTGGGCCAC ACGTCGCAGGGCGAGG 142 cg20761322 CACCTGGTAGTTGTCTAGCTGCTCTTCG 15  78423564 CIB2 GTGAAGATGGTCTGCTTGTTCCCCATG GTGGC[CG]CCGCGCCGCCGCTCGCCCG CCCGGGCTCCGACTCCCATCAGCGGCC GCCAGACCCGGAGC 143 cg20795863 TTTTCCTTGTGCAGCTTTTGCCCTTCTC  2 233896119 NEU2 AGTTTTATTTTCTCACATCGTCCTAATA TTAA[CG]TTCACTGTGGTTGAATGAAA GACTGATAGATTACATTTATTTCTCAA AGAAGCTAAGTTT 144 cg20828084 GACTCCATATGCCCTAGGGATGTGTTG 15  81070851 KIAA1199 TGATGAACTTTTCCTACTGGTACTGTTT CCTCC[CG]CGAGGGAATGTCTAGACCA GCCGCACCTTCTTGCTTTGACCCTTCAG AACTTTGGCCTGT 145 cg20914508 AGAGCACCAGAGAGAGAGGGAGAGAG  3 115342333 GAP43 AGAGAGAGCGCTAGAGAGAGGGAGCG AGCATGTG[CG]ATGAGCAATAGCTGTG GACCTTACAGTTGCTGCTAACTGCCCT GGTGTGTGTGAGGGAGA 146 cg20947775 CCGCCCGGGGGCGGGTGGAAGGTGGC  4  83720240 SCD5 TCCCGGGGCAGGGAGCCTGCAGGGCG GCTCACAG[CG]CTTCTGCTCTTGTGTGT GTGTGACCCCCAAAATGCCTTTTATGG TATTTTTCCAGTCCCC 147 cg20999813 GGGCCCCGCTTGGGGAGGGCGTGGAG 16  84734014 USP10 GGCGCCGAAGGGGTTAACCTCCCTGGG GCTGGAC[CG]CGGGGCGAGCCCGGGG TGTGGAGTGGGGCCCTCCCCGCCGCGC CGGCCGGGGGAGGCGGC 148 cg21096399 CTGACTGGCCGAGGTGGCAGCGAGGA 11 119188145 MCAM GAAGCTGTCCCGGATGCCCGGAGTCGC CCCGGGT[CG]AAGCCAGCCAGGCTCAC CGCTGCTCAGCCCCTGCCAGCCAATGT AGCCCCTAGGGGACCT 149 cg21378206 AAATAGGGGAGTCTACACCCTGTGGAG  2 113817043 IL1F5 CTCAAGATGGTCCTGAGTGGGGCGCTG TGCTTC[CG]GTGAGTGTATGAGGCCCT GGTTTGGTGGTGTCCTCCGGAGGAAGT GAGTTCTGGATAGAC 150 cg21460081 CGGGGCGACCCCCTCCTTGCCTCGCTC 17  46656012 HOXB4 TCTCCGGGATCAGAGAGAGAGCGAGA GAGAGAG[CG]CGCGCAGGTTGCGACT GGAGGGCCTGTTGGGGCGCTAGGCAG AGCGCAAACCCTAGATCC 151 cg21801378 CCACGAAGAGCTTGATGGCGTCGTGGT 15  72612125 BRUNOL6 CCTTCATGGGTACGGCGGGACCGGGGT TTAGCC[CG]CTCATGCCGACGCCGCTG TCCGCGGTGCTGAAACCCAGGCGCGGG CCGGGGCCAGCGGGC 152 cg21870884 GGGCCCGCGGCGGCTGGTGGATACCTT  1 200842429 GPR25 CGTGCTGCACCTGGCGGCAGCTGACCT GGGCTT[CG]TGCTCACGCTGCCGCTGT GGGCCGCGGCGGCGGCGCTAGGCGGC CGCTGGCCGTTCGGCG 153 cg22006386 ACACGGGTGCGATCGCAGGCAGAAGC 19  38827378 CATSPER AGTACGGGGGAACTTAAGAGGGGGAC G TGTCAAAG[CG]AGAAATAGAAACCAA GACCAGGTGAAGAGCAAGAGTGGAAT ACAGGGAGGGGGCGGAATA 154 cg22289837 TTTTCATGAACAGAGGTACAGCTCAGG  8  86350278 CA3 GAGTGTGGCTAAATCAGTCCCAGTCTC CAGCTC[CG]CGTGAACCTGGGATCCAG ACATCTCCTGGATATCTGGCGCTCTCT GAGATCCAGCCCTCG 155 cg22432269 AGGCCGAGCCGGGAGAGCCCCCGCCC 15  22892697 CYFIP1 CGGGAGGAAGGGGAGGAGGCCGAGTG TTTCCTGG[CG]CATTCCCGGCCAGCCC GAGTGACTCACTCGGCCAAGGAAACTC CCAGGGCCCGCCCAGGA 156 cg22449114 GGGCCTGGGCATTAAGTCAGTGGTTCT 20    590243 TCF15 GGGCTTGGGGTGCCGCACCCAGCACGA ATTCCA[CG]TCGCTTCCCCCTGGCCTCG TTGGGGACCCCTGCACCTCTCCGGTTC CCGCAGAGGCGCTG 157 cg22679120 AAAAAAATTACCGGGCGTAACTGCAC  7   2353402 SNX8 GCGCCCGTAGTCCCAGCACTTTGGGAG GCTAAGG[CG]GAGGATCACTTGAAAG AGAGAGAAAAGCAGCTACACATCTAT AGATTCGGTTCACAGATG 158 cg22736354 TGCGCCAGGGCGGCCACGCAGGCCAG  6  18122719 NHLRC1 GCAGACCACGTGGCCGCAGGACAGGT TGCGCGGG[CG]CCGCTGCTGCCGGTGG CCAAACTTCTCAAAGCACACCTTGCAC TCGAGCAGGCTGATCTC 159 cg22809047 TCACATCTGTCATCTCTCAGGTCATATC  2 101618261 RPL31 CAACACACTGGGCCACCCACGCACAG GGACGA[CG]CGACAGCCCTGTGGCTCC ACCGCACAGGACAGCCACGACTGGCA ATCCTGTGCCGGCCCT 160 cg22901840 GTGCAGGGAAAGCACACCGTGGCTGC  1  68512777 DIRAS3 AGCCCAGCAACTGGCAGTAGGTATTTT CAATGGT[CG]GCAGGTACTCATGACGG AAGTTGCCGCTCGCCCACTTGTGCAGC AGCGTACTTTTCCCCA 161 cg22920873 CGAAGATCCGGCCAATTTGCCCAGCGC  7 139025153 C7orf55 GCTGTGCTCCGCGACGGCGCATGCCCG CTTTTG[CG]CAGGCGCGGGGACTACGG CGCAGGCGCGGAGACTATTGCGCAGG CAAGCGCGTACGCAGA 162 cg23517605 CTCCAGTGCCGGCAGGTGGGAGGGCTG  6   3228365 TUBB2B AGGTGGCACAGGCTGCTCCGCCACCTC GGACTG[CG]GCTCCTACTCGGCCACTG GCCAGAGTCCCTCCAGCCAACTGCCCC TGGTGAGACCACCGT 163 cg23662675 TGGCTGCCCCGGCAAATCGGAGTGTAA 20  45985596 ZMYND8 AGCCGCCCCGGATTGGCTGAAACACTT CCTGAG[CG]ATTATCTTTGTGAGGCTC GGGTGAGCAAGAGCCATCCTGTGCATA GAAAAAGACAGGCTA 164 cg23941599 CTGAGATCTCGCTGGCTCTTCTCCTCTC  5 114880796 FEM1C GGATTTTCGGGGTGCTCCCTTAGGGAA TCTTT[CG]GTCCCATCTCAGAGACCCC AGAAGGGAAGTGTATTAGTGCGTTTTC ACGCTGCTGATAAA 165 cg24116886 CTGGTTTATACTGCCACATTCATTCTTG 20    137877 DEFB127 GAGGTGAGTACATTTCGATCTTGGTCC GGCTG[CG]CAGAGAGTCAAAGCAGGA AAATCACAGATTCTTCCCAGCAGTCTA CAGCCTACACAGCGG 166 cg24126851 GCAAGCAATCTTAAAGGAACTGGGAA 11   6678143 DCHS1 GAGTTCTGACTCCTGTCCTTCTTCCTTA GGACTG[CG]AGTAGACTGTGAGAAAA ACAGGTTTTCTGGACTTGAGATGTGTA CAAATGGCACAAAGAA 167 cg24254120 GTTGGAGTGCAGACCCAGTCAGTCTCA 13  34392869 RFC3 GAATAAGACGAGAAGCCGTTGGAGCA TTTTGAG[CG]GAGATGACACCATGTGA TTTACTTTCTAGCTGGCTTAAGATTTCT CGATGTCATTGTCAT 168 cg24262469 CTCTGCAAGCTCCATGAGGACAGGCGT  3 156391694 TIPARP; GAAGTTCAGGCTACATGCCTGGTACGT LOC10028 AATAGA[CG]CTCTGACAGACATTTGCT 7227 GAATGAATAAGTTAGTCACTACGGCGT TTGTGGGCTTTAAAA 169 cg24450312 GGGGCGCGCGAGGGGCGCAGCGCCCG  1 206681158 RASSF5 GAGGGCTGCCCGGGGGAACCTGGAGC CCCCGCCC[CG]GGCCTCCCGACCCGCT CGCCCGCTCCGGCCTGGTCTGCAGCAG AGACTGCGGCGGCGGCC 170 cg24580001 TCTTCTGAAGGATTTGATGCTGGTGCTT 11  64106532 CCDC88B TTCAGGTGTGGGTCCTGACAGTGATGT TGGGA[CG]GCAGCTAGCCAGACAGCA ACTGTACCATGTAAACTCACTTCAGAG GTGTAGAATGGGGGC 171 cg24834740 GGGATGAGGATGGGGCGGGGAGGTGG 20  37434552 PPP1R16B TCCCAGCCTGCTATCACCTAGCTGGGG GCCGGGG[CG]CTTTGGCCAAGGGACG ATAGCTTGAGATAAATGGGAGTGTGGG GACTCTGGAAAGACGGG 172 cg25070637 TGCCAATCGGCGTGTAATCCTGTAGGA  8  97505868 SDC2 ATTTCTCCCGGGTTTATCTGGGAGTCA CACTGC[CG]CCTCCTCTCCCCAGTCGC CCAGGGGAGCCCGGAGAAGCAGGCTC AGGAGGGAGGGAGCCA 173 cg25148589 GGGTGAGTGTGTGTGAGTGCATGGGAG  4 158141936 GRIA2 GGTGCTGAATATTCCGAGACACTGGGA CCACAG[CG]GCAGCTCCGCTGAAAACT GCATTCAGCCAGTCCTCCGGACTTCTG GAGCGGGGACAGGGC 174 cg25505610 GAGGCGCCAGCGGGAGGCAACATCAA 11  32605184 EIF3M TGCAGTTAGCTACACGGGCCTGAAAAC TGGAGGC[CG]CGACAAGCGTCGCTGA GTGGAGGCCCAGTAAGTCCCACCCACT AGGCCAGCCCGAGCGCG 175 cg25552492 GCAGGGGGGCGTCTTGGGGGGCCTCTT  8  22013999 LGI3 AGCGCTGACTTGCAGCATGAGGCAGA AGCCGAG[CG]CGGAGAGCGCCAGCAG CCCCGGCCCCGGGCCCCCCCTGGCCCG CAGCCCCGCCATGCTGC 176 cg25683012 ATCCTCCCAAACTGTGAGCTGGGAACT 12  57030113 BAZ2A AGCAAGAATCAAAAAGCCAGTGTATG CTTCCTG[CG]AACCACACAGCCTGAAC TGCTGTAGGGTGATGTCCCTGTGTGAC AGACTGGGGTGGGGAG 177 cg25771195 GATAAGCGCCTAATATACATCCCTGCC 16  58163814 C16orf80 TGTCATTATTCACATTGTGGCATGCAG TCAAAG[CG]ACACTCTGAGGAAAATGT ATCGCCTTAAATACATTGATTAGAAAA TAAGAAAGCCCGAAC 178 cg25781123 GGGGAAGCACTCTCTAAACGTTAGCAA  3   9404598 THUMPD3 ATACCATGGTAGGACACAAGGCCCCTG ACTCTC[CG]CTTTCAGCTTACTGAAGA TCCTCAAAACCAACAGCACACAGCTTC CAGCGCATGCTCCTT 179 cg26003813 TTGTTGAGAGGCGGACACTGACTCGGG 16  23689802 PLK1 AGGTCTGGGGTAGGGCCTGAACGTTTG CCTTTG[CG]GTTCTAACAAGCTCTCAG GTGATGGCGATGCTACTGTTCCCTGGC CCCGAGGTAGAGGAA 180 cg26005082 AGCTCTCCACCGACCGAAGGAGGAGA 19   4769660 MIR7-3; ATGCTATTTATTTCAGCACCAAATATC C19orf30 CGGACAG[CG]CCTCTCGGGAGGTCCGA GAAGAGAACCGCGATCTGTTTCAGCAC CGGGGCTCAGGACAGT 181 cg26045434 GGGCTTCCTAACTTTCAGGTGTCAGAA  8  21987861 HR; HR TGTGTGGCCCAGCCCACAGGGGCACGG GGAACA[CG]CTCCGTACGGGCACCGCA GGCTCGGCTCAGAAATCCCCCGCCACG AGTGTCCCCAGACGG 182 cg26297688 ATAAGCCACGTCTCTCCTCACCCCTAG 12 107349093 C12orf23 CACTTAATCACAAAGGCCTGTAGAGAG TCCCGA[CG]AGAACTTCTGAGCAGGCC CCGCTGTCAGTCCCTGAGGACAGCATG CAAGGGAGGTTGACG 183 cg26372517 CCGGCGCCTCTGCCCGCAGCGCTCGCC  1  36039159 TFAP2E GTCGGGCTAGGGCTCCGCCGCCGCCAC GCCTCG[CG]CCCGGCACTCACCGCCCC ATGCTGGTGCACACCTACTCCGCCATG GTGAGTAGTCTCGGG 184 cg26453588 GGCTGCCCACCCGCCCACCCCGCCTGG 22  43506021 BIK AAGCTTTCTGATTTCTCTGTTCGCCCCG CCAGG[CG]CTGTGGGGTCCGTCTCACC AGGTCTGCACGTGAGCCCCCTGCCCCC AATCCCTCCCAGTC 185 cg26620959 GGTGGGAAGGAAATGTCCCTGAGAGC  6 152958489 SYNE1 CGGGACGCGCTGCCTCCGCTGCCTGGA GGAGCTG[CG]CTGTCCTGCCAGCTAAC TTTTGCCCACGGTTTCCACTGCCCGGGT GACCTTTCTGAGCGG 186 cg26842024 CGACGACGACCTCAACAGCGTGCTGGA 19  16436122 KLF2 CTTCATCCTGTCCATGGGGCTGGATGG CCTGGG[CG]CCGAGGCCGCCCCGGAGC CGCCGCCGCCGCCCCCGCCGCCTGCGT TCTATTACCCCGAAC 187 cg26845300 CGCAACACCCCAGGCGTGGGGCAAAG  6 158243833 SNX9 ACAGCGGGGTTGCGGGGCTCCTGTCTG CCCGGGG[CG]TCGAGAGTTCCTGCCGC CCCCTCCCGCCTCATGCACGGAAAGCG CCGAGCCACGGCGTGC 188 cg27092035 GTGTGACCACGGAACGGCCCTGCTGGT  5 175792880 ARL10 GCCGGGAGCTTGGGGGGTCGAGGGCTT GGCAGC[CG]CAGCGCACAGGCCCCGC GCGGGTGGGCGGTCAGAGCCCGGGAA CCGAGGAACGGGTGGGT 189 cg27169020 GACGGAATGAAATGAAGTGCCCTGGA 15  83954229 BNC1 GAAGCCAACTGGAGGTGGTGGCCCCG AGAGTAGA[CG]CGGAGGGGCTGAGGC CGCAGGATCCTGGAGCCCAGGAGCTG ACGGAGATCGCCCACAGCT 190 cg27319898 GGAATTCCTGATTCCCTGGTGGACCCT  7  88389003 ZNF804B GGAAGTTGTCCTTAAATAAATATATCG CTGGCC[CG]CGGTTGAGCAGCCACCTC GTCAGAGCAGCATGTGGACTGGCTCGC CGGGTCCCCTCCGTG 191 cg27377450 CTACACAAAGGCGCTCACACTTTATCC 19   7446301 GAAACAGCAGTGGGGCTTGGGTGCGG TGGCTCA[CG]CCTATAATCCCAGCACT TTGGGAGGCCGAGGAGGGTGGATCAT CTGAGGTCAGGAGTTCA 192 cg27413543 GAAACCAAGACTAGGGGCGCGCCGTC  4  83812148 SEC31A ACCAGAGACCGGGCCTCAGGCTGGTGC GGGGCAG[CG]GAGACCCAGGCTGCGG TCCCAGTTTTGGCCTGGGCTCTACCTCA AAGCTTAAGGACCGGC 193 cg27494383 CAAGCCTAGGAAAGTGCCTCAGGCTGG 15  41805868 LTK ACGGTCCCCTGACCGCCAGATAGCACT TACCCG[CG]GCTCCGAACCACACCAGC AGCTGTCCCCAGCAGCCCATCCCTGTT GGGTCCACCCGGCAA 194 cg00091693 CTCCTCCTCTGCTGACATGTCACTAGG 17  39041602 KRT20 ATTGGCACCACAGTCCACCTTGCCTTA CTTCCA[CG]CCCCCCGCTTTGTATAGC AATATGTTAATATGCTTAATTCAATTCC AGAAAATACCACTA 195 cg00168942 CTTTGCTTTCTTATCTCCAGCTCACACC 10  35894430 GJD4 TTTAAGTCTTATGTAGTTAAAGGACAT TTATC[CG]CCTCCTTGGAGAACACAGC CCTCCAGTGTCTCCTGCAGCCTGGAGC CTGGGACATTCTGG 196 cg00431549 TAACTGCTGGACCTGACTGTGTTACAC 12  15039025 MGP AGGATGCTGCTCTGGTGCAGAAGTTTT GGCCAT[CG]TATGCTTGGGGACAGACC TGGGCAAAAGCCCACAGAGGAAGTTG CCACAAACACATGATC 197 cg00436603 CTCACCAGGTCACTGGCTGGAACCCCT 10 135340740 CYP2E1 GGGGGCCACCATTGCGGGAATCAGCCT TTGAAA[CG]ATGGCCAACAGCAGCTAA TAATAAACCAGTAATTTGGGATAGACG AGTAGCAAGAGGGCA 198 cg01027805 CGGTTTGGAGACGGGGGGCGCTGTCGG 14  21566863 ZNF219; AGGGAGGGAGGAAGGGAGGGAGCGG C14orf176 GGGTGGGG[CG]CACAGAGGATTCCAA CAGGAGACTGGAAGAGATTTTGAAAG GTCATCTCGTCCTTCCCCC 199 cg01234063 AAGCCGGATCCTCTCCGTTCCCTTGGA 11 126226007 ST3GAL4 GTGAGCAAGCGGGACAGTTCTGCGGA AAGTTTC[CG]CCCCCAATCCCCCAGCC CTGCGCCCGGACTGAAGCGGCGGCCCC CACCTCCAGCATCCTC 200 cg01262913 GTTCCAAGAAATCTGCCACCAGCTCCA 21  38580486 DSCR9 AGCCTCATGTCCTGAAGTGCCACCTCA TTCCCG[CG]GGGTGAGCCAGCAGCCTC TGAAAAGAGGAAGCCATTGAACAGAT CACACTGTGCCTCCCG 201 cg01407797 TGATTATATGTACTATTATTATCTCATT 22  29168514 CCDC117 TTACTACTGTGGAAACTGAGATACGAA ACTTG[CG]GAGTGAGGATTTGAACCTA GGTCATACTCTTGGCCAGCCAGAGACA CCCTAAGCCCCAGC 202 cg01459453 GCAAGTTTAAAAGTACTCACAAAATCT  1 169599212 SELP AATAGGCAATTCAACATAAAACTCCAT GGCTAT[CG]CTGTTCCTCACTTTCTGAA CCTTTACCTGCCTGACTTTACTCCATAC CACTCCAACTCAC 203 cg01485645 CCCCCGCCCGGTCCTGGAAGACCGGGT 17  36862199 MLLT6 CAGGCATTGTTTTCTTGCCTATTGTTCC AGTTC[CG]CGCCCCCCACCCTAAGTTG AGGGAGTTTGGGGAGAGTCTAGGGAG CAATGAGTGAACTCC 204 cg01511567 GTAGTTTTATTGTATCAGACTTAGTACA 11  57103631 SSRP1 GGGGTGGGGTGGGGGTGTGTATTGGAA TGATG[CG]TGCCCGTTTCTCTGCAAAA TAGTTTCTATGTCATGGAAAGGAGTCG ATGGGACAAGAAGA 205 cg01560871 GGTTTTAGCCAGAGAGAAGCGGATGG 10  72545424 C10orf27 AGGCGGAACGCTGGCAGAGGACGTTG GTGGGCTG[CG]TCCCAGCTTCGTCAGC CCCACCTGGCCTGACCCCACCACACAG GGGTCGGCTTCCATGCA 206 cg01570885 GGAGGAGGGTTGGAGAGCAGGGCCGT  6   3849272 FAM50B GTTGCAAGGCTCTCTGGGTGGCCACAG CAGCTTG[CG]CTGCGCCCACATTGCTT CTGCGTGTTTACAGTTGGGCACGAGAA GGCTCAGCACGCACGC 207 cg01820374 GGGAGGCTCAGTTCCTGGGCTTGCTGT 12   6882083 LAG3 TTCTGCAGCCGCTTTGGGTGGCTCCAG GTAAAA[CG]GGGATGGCGGGAGGGTT GACCTCCAGCCCCACAGGAGGGGACC AGCAGGGATCTCTGTGG 208 cg02047577 AGCCTGCCGGCCTGGTGTGTCTCGGGC 20  62587702 UCKL1AS; CGTAGGTGGCGACGTGGGCGAAGGAT UCKL1 CAGCGTC[CG]CGCGGGCCGGGGGCGC AGCCATGGCGCTCGGAGGCCTCTTTGC GGGCCTGGCCGGGCGGC 209 cg02071305 TGCCTGATGGATAATCCATCACTTGCT 15  41185973 VPS18 TTTCTAGTATGAATGGTCTATTTACGGG TCCAG[CG]CCCCTGCTGGCTTACGACC TTTTCCAGGGCGGGGAGGGGCTGTCCT CATCTCTGTGACCC 210 cg02275294 GTTTGAATGTTGCTGAAGGACGCTGGT  1 179262462 SOAT1 TTTCAAACGGTAAGGAATCTCCTGATA AAGGCA[CG]AATCTTGGTGTGCAGATA AGCCAGCGATTCTTGCTTCTGGCTAGT TCTACGTTGTTCCTG 211 cg02335441 CCCTGCGAGGGGGAAGGTAATGGTTTC  3 130745948 NEK11; AAGCTGCCCGGGCTGGGTTCCGAATCT ASTE1 CTAGGA[CG]CCATGGCTGCGATCTCCT CGCTTTCCTGGACATCTTACCTCCGGAT GTACTCCAGTCTCA 212 cg03019000 TGAGCATAGTTGTCACCTTCCCCACCT  3  51704351 TEX264 CCCACCAAAAGTCCGGGATTTTCACGA GGGGAG[CG]TTTTATCTTTGGGCCCCT AGAAGAGTGCTTTGTAGTTTGTAGGTC CTCAGAAATTTGAGG 213 cg03286783 TTTCCCCGCCTCCCAACCGTGAGGTGT 15  44580973 CASC4 TGGGTTTGGGGGACGCTGGCAGCTGGG TTCTCC[CG]GTTCCCTTGGGCAGGTGC AGGGTCGGGTTCAAAGCCTCCGGAACG CGTTTTGGCCTGATT 214 cg03330058 ATAATCGGCCTCCGGTCCCTGAGGATT  3 127392403 ABTB1 CGGAAACTCCTGACGCAGCTAAAGTGA ATCTGG[CG]CTGAGATGCCCCCTCCAT GGGCCGGACGCGGAGGGAAGGGGTGC CCAGTTGGGTTCTGGG 215 cg03578041 TGAATGAATAAAGGGAGCTATTGAAAT 15  71147307 LARP6 GTCAGGATGTTCTAAAACACTGCCACC TTTTCA[CG]TGTAACTTCAAATTGAGTT CCATCTCACCTCTCCAAATGTGACCCA GAAACTAGGGACAG 216 cg03682823 TGGCAGAGCAGGCTGCCTGCCTACTTG  7  94286953 SGCE; TGCTTGATTGAAGTGGCGGTGTAGTTG PEG10 TGGTGG[CG]CGAATCAGCGTCCAGCAA CAGTTTGTGGAAACTGTGGGTTTGCTG AGTATGGCGGGGGAA 217 cg03891319 ACCATCTCACACTGTCACATACACAAT  3  52016838 ACY1 CATATCCACTGATAGACTGCACACGCA GTGGCA[CG]CTTAAACCGTCACACGTG CTCTTGTCCATGCATTCATTCCCATTCT AGGCACTGTCCGGG 218 cg03947362 CTGCCCCGCGCGAGGGCCTCACCTGTG  2 200820154 C2orf60; GGTAGAGGTGCTGCATGAACTGCTCCC C2orf47 GAGAAA[CG]CCCTCCAGCCGGGGTACC GGGAGGTGCTGCCCGGCCATGGTTGCT CACGCCTGCCCTCTT 219 cg04005032 GGTGGCGGCCCCGGCACGGCGGCTGCT  3  32022767 OSBPL10; GCTGCTGCTACAGCTCCGGACGCCCGG ZNF860 GCCGCG[CG]TGCCTGCTCCAAATCCCC GGGAAATGCCTGACTCATACAGGAGG AAGAGGAGGAGGAGGC 220 cg04094160 CTCTGACCAATCACCCTTTGCCTTACA  9  37465712 ZBTB5 ACATGTAAAACGGTTATCAAATGCCTT TTAGGG[CG]GGATTTATCACTAAACTG CTCCAGGTTTGGACTATAGAAATGCGG CTGTTCGCTGCAACC 221 cg04121983 AGCTTACGTCAGTTTCTCGGTGGCAGC 17  73511085 CASKIN2 GAATTTACTGCCAGAGTCTTGTGGCAT GAGATC[CG]CGCAGGCCTGGGGCCCTG GCCGGGAACCCCTCACTCCCCAAACGT CCCAAGCCCAACCCA 222 cg04268405 TGACGTTACGTACTGGAAGTCCCAGGA 10  73723221 CHST3 GGAATGCCCAGCAAGTGGAATCCAAG ACGTTCT[CG]CCTTCTCGGGGACAGGG CCATCACCAGGATTCGGAAAGGAACA GGGAGGTTCGGTTTGTG 223 cg04431054 GATGACCTTGGCTAACTGATCTTATCC  5 126853024 PRRC1 CTTGGGCCGCTGTGGCACAGGATGAGT GAGCTA[CG]CCTGGTAACAAGAGTGCC ACTCTCGTGTAAGGGGGCTGCGAAGTA GAAAGGAGGCCAGCC 224 cg04452713 CCTCTCTACCGCTCATCTAAGGGCGTC  6  56707687 DST TCCGGACTGTCGCCCACCCCACCATCC TCCCTG[CG]CTGGGGGTACTAAATCCC GTGCAAAAAGACCTGGTCCATTCCCAA GACTGGTCCAGACAC 225 cg04474832 CCAGCCAAGTGGCCTTGATCGTTTTCC  3  52008487 ABHD14B CAATGCCCCCGAGCCTGTTTCCTGCCA GTAGAG[CG]GGTCAGATGTTGCCAACC TCTGCAGAGTAGCAATAAGCAGTAAAC GCCACGCTCTGCACA 226 cg04999691 GAGGGAGCCGCGGAGGACTGGCAGCT  7 150027050 C7orf29; GCAGATGCTGGAGCAGGCCAGCCTGTG LRRC61 GCTGGGC[CG]TAGCTTCCTGCTGGCAG GCTTCCTGGTATCGAGCAGCTGCCCCA GCCTGGAGCAGGCGGC 227 cg05442902 GCCAGGTCACCCTCTCACTCTGTGCCT 22  21369010 MGC1670 CTTAGTTATCTTGCATGCTCTGGTCTTT 3; P2RX6 GCATA[CG]CTGCTCCCTGCACCAGGAA CCTCCATCCCCATCTTTGTCTGCTTGTC GAACTTCAGAAAT 228 cg05590257 GCAGCCAGCGCAGCACCCAAGGCAGC 17  17109570 PLD6 GCCTCCAGAGTCAGAGCCAGGCCCACA GCCGCCG[CG]GCCGCCACCTGCCAACT CAACCGTCCCATGCCGCCGCTAATCCG GGACCCACAGCCACGC 229 cg05847778 TCGACCTGTCCGCGCAGTGAGTTTCCA  2 170336167 BBS5 AGATTCCCGAGGGATCTTCAACCCTGT AGAGGG[CG]CCGCCGTGCGCGTTAGG GACCCGCGGGCGGAGACTGCACCTCCG CAGCTCGCGGCCCTGG 230 cg05903609 GGGTTACCCGGCCCTCGATAAGGAAAC 17   1587888 PRPF8 ACTCCGGCCATATCCGGAGAATCTGGG GAGCGG[CG]GGATAGAAAAATTCACT AACCACAGGCCCGGGCCCACAAGAAG CGCAGCAGAAAGGCGTC 231 cg06044899 ATATCGGGTTTGTCAGACATGGTTGCG  4  91760229 TMSL3; GAGGAAAAGCGGAGCGAGGCGCGCGA FAM190A GTACGAG[CG]AAGTCTGGTCTGCGCAG TGGCCACCACCGAGTTGTCGCCATAAT ATTTTTAATAATGTTT 232 cg06117855 TGGGGAGGGTTTCCTGGACAGAGGTCC  3  45067788 CLEC3B TTTGGCTGCTGCCTTAAGACGTGCAGC CTGGGC[CG]TGGCTGTCACTGCGTTCG GACCCAGACCCGCTGCAGGCAGCAGC AGCCCCCGCCCGCGCA 233 cg06513075 AGGGGGAGTAATTTCATTTGACGACCA 11  34126714 NAT10 TATACAGGCCTAATGGGAGCCTGCAAA GTACAG[CG]GCCGCAGTCATGGGTAGA TTACAGGATTCCCATCTGTAAGATCAG TACTGTGGGGGTGGA 234 cg06688848 AACGAGCCGGAGAGACTTGATTGGGC 16  57220097 RSPRY1; CATTCACGCCTCAGGATGAGGACTGGC FAM192A CAGTCTG[CG]CCTGGAGGGCGGGCCGG TCCCGCTGATCACGTGACACGATTTTT GAAAGGTGATTGGCTG 235 cg06836772 CAGAATAAGTAGAGGAGGACAATTCA  1  57110403 PRKAA2 AGAGAGCACAGAGCTGCGTGCATTCTC CCTGTGC[CG]CGACCTGTATCCAAAAG CCTCAGACGAGACTTGAGGAGCTTCCT AGAGGCTCTCCTGCCA 236 cg06926735 CGTCACAGCCGGTCCCCAGAGCAGGAT 20  48732667 UBE2V1; TCCTTCCGGCGCCTGCGCCTGATCACC TMEM189- GCTCTG[CG]CTTGAGCTGATAAACTCA UBE2V1 GCTGATGGGATAAGAGTCTTGTTTTAT CGGATTTTGGGGAAG 237 cg07158339 TACAGGGCTTAACTCATTTTATCCTTAC  9  71650237 FXN CACAATCCTATGAAGTAGGAACTTTTA TAAAA[CG]CATTTTATAAACAAGGCAC AGAGAGGTTAATTAACTTGCCCTCTGG TCACACAGCTAGGA 238 cg07388493 GGGAGCCAGTGTTCTTTCTCTCCTGTG  1  39491459 NDUFS5 ACTTTGGTGAAGTCTCTCACCACTCAG TGTTGT[CG]TGAGCATGCTAGGCAGAG TGCAAGAAAGGAGCAAGAACTCACTA ATGGCTAGGCCTTCCC 239 cg07408456 GGCCTGGAGACCAGGTGGTTCAGACTC 19  15590532 PGLYRP2 CATAAACTCTGCCCATTCTCCAGTGAG GTGGAC[CG]AGGCAACCCCTCAAGTCC TGTCCCTCCCCATAGTGACGGCTCTGT AGCCGCTGCTGGCCA 240 cg07498421 GATGGTGCTTATGGGGCAGGTTCCCTA 12  94071223 CRADD ACAGTCAGGATTCCGGTTGCAGTTTTT CTCCCC[CG]CCCCAAAGATACGTGGTT GCAGACGTAAGTAACAGGAATCCATCT TTCTTTGAAAGTCCT 241 cg07663789 TGGTAACACGCTCAGCCGCTGCCACGC  5  32711429 NPR3 TATTTAAACGCGGGCTATGGATCCAGG AACCGG[CG]CGAATCAATGAGATCAA ATGCGAGGGAGATGCACCGTCAATTAC AAACACTTGGACAAGT 242 cg07730301 AGTGGGCCAGCAGTCGGGCCAGAGTC 11  67777952 ALDH3B1 CAGCTCAGCAACTCCGGGTTACAGGCA GCCCAGG[CG]GGCCTAGCCACCGGCA GCTGCACTCAGAGGCCACTGTGTCCTG GCTGAGCTCATCTGCCT 243 cg07770222 CTCTCTTCCTATTTTGTGATTAGGATGC  8 144120106 C8orf31 TCCATCAGTTTCTGCCACCAGCTTGCTG GAGA[CG]CTGCGTGTCCCTGACTCCTC TCAAAGGGTGAAAAGCTCAGTCGCACC CGAGACCTGCTCC 244 cg07849904 AGCAGCAACAAGTTTTGCATTTCAGCA 22  28197796 MN1 ATCAATTTCAGCCATTACATTTGCACC AATCAG[CG]CCGCCCAAGTTCCGGGCT CGGGGCGGGGCTCGCTCTTAAGGTGGT CCGGGGTCCTGGCTG 245 cg08186124 GCTAACGGAAACCGAGGCACGTGGAC  3  45883676 LZTFL1 TGCAATTATGCATTTTCATTGGTCCTCA GGATCA[CG]CGACAGGAAGTATTGCGT AACCGGTTGACTGCCACATGCGCATTG GCTTCCAGGGCCGGA 246 cg08331960 TCGGGGTCCCTTGGCCTGGAGACCCTT 16   2076597 SLC9A3R2 TGTCCAACCCGTCGCCCACCTCAAGAC CTGCCT[CG]ATGCTGCGCATACAGTAG GTATCCAATAAATGTTCCTGGGATAGA AGGCAAAGGCGCTGG 247 cg09133026 TCACTAACATCGCGCTCCAGGGCCAGC 14  75388105 RPS6KL1 CGGATCTGCGTGGCCGCATCCACCAGA TAGTCA[CG]TTTTGTCATGTCAGGCAC TCCCAGAGCCACCCTGTTGCGAATCTG CTCCAGGTACACGTG 248 cg09441152 GCAGAAACGCGGGGCGGCCTCTCCCCA 18  77712293 PQLC1 TCCCCGTGTAGTTCTCCGGGCTGAACC GTTGGG[CG]CCTATTTGCAGAAAAGGC AGCTCCTGAGCCTCAAGACAGACTCGG GGGCCAGGCGTGCGT 249 cg09646392 TCACTATTCTTAGTCCACAGGGGAGTA 13 108921052 TNFSF13B GTGACTACCCAGGGCTTGGTAAGTGCT CAGTAA[CG]TTTGTTGAAAGATGAATC AATATTTCAATGCTGGGGCAAAGCAGT GAAAAACTGGGGAAT 250 cg09722397 TCGGGGTATTTTTAGGCCGGCGATAAA 17  72855943 GRIN2C TAATTCATAGGGAACGTGGCATCAGGC TCCCCC[CG]CGGGAGGAGGGGGCGCG AGCAGCGAGAGCCACCGTCACCCGCG GCTCAAGGACACTCGCG 251 cg09722555 ATCAGCATTAGGGGTTGGGACTGAGGT  9  34662282 CCL27 CAGAGTCAGGGGTATCAGGGGTGGGA GCTCACA[CG]AAAGCCTGGAGGTGAC AGTCCCCGTCAGCCTCCTGCAGTTCCA CCTGGATGACCTTCCTC 252 cg09809672 CCCCAGAGAGCTTTCATCTAGAAGGTT  1 236557682 EDARAD TGACTCTGGCCAGACAACCAGCGAGCA D TCTTCT[CG]CAATCTGTTGCTTCTTCCA TGGCAAACTCCAGAGAATTAAGAAGC CAAACTCAACATCGC 253 cg10045881 TCACAAGTCTGCCAGGGGAAGTCCCTG  1 111770291 CHI3L2 GACTTCTTGCTTCTTTCGTGTAGGACAG GCTGT[CG]AAACCTCAGTGGATAAAAG ACCTAGAGAATGTGTATCCCAGAAGAA GCTGGCCAAGGATA 254 cg10266490 TGGGGGTGCCTGGAGTTTGGCTGGGGC  1  55013709 ACOT11 TGGGTGCCCAGTGGGCGGGCACAGGC CCCTTGA[CG]TGGCTGTGGCCTAGCTG GCAGCCTCGTCCTTCCTCTCCGCTAGG CGGGCACTGGAGCTTT 255 cg10345936 AACGGGGAAGAGGCTGAGATTGTATG  5 150727812 SLC36A2 ACTCCCAGCCACAGTTTGCTGGGCAAG ATACTGG[CG]CCAGGAGGTGGTGAGAT TTGTCTAAGGTCACACATGAAATCCAG GATAGAACTCTGCAGC 256 cg10865119 ACTCTGGGGCTCGAGCTTAGGATAACT  6 170190112 C6orf122; TCAGGTTCAGCTGAGGCCTCTGAACTG C6orf208 TGACTC[CG]CCCCGTGGCCGCATGCGT CGGAACTCCTACCTGCCCTTTGCCCTTC TCGAGGCCGGTGCT 257 cg10940099 TCTTGCCCTCAGATTACCAGACACGAC  6 109703938 CD164 GCAGCTGGACTTGTCTCATGCCTGCGA TAGGGA[CG]GCCCCCACCCTGACTTGC ATGGAACAGTCGACATAATGTGGCCTA CTGCTTCCACCTGAG 258 cg11025793 TGGTCTCCCCTGGAGGGTGGGCGGGTT 19  13262015 IER2; ATCTGAGGGAGTCCTCGGAGGGTCGCC STX10 CCCTTG[CG]CGTCAGAGTTGCTGCGTG GGGTCTCAGAGATAGCGCCTGGGCTGG GGAAATCATTGTGGG 259 cg11299964 TGTTAGGCTTCTCCATCGAATCTTCTTT  9 128469783 MAPKAP1 CTCCCCATTTCCACGGAGAAAAGCCCT TAGTT[CG]TCCAGAAATGAGTGATGAG GCAGCTCAGCCTCTCTGAGAAAGACCT GGGTTCAAATGCCA 260 cg11314684 AAATGCTCAAAATCAAGAATTACAAA  1 244006288 AKT3 AAAATCCCTTAATAACAAGCAAATTCC TAACACA[CG]TTAAATATATCATTTCT CTCTTACTAGACATAGCATGACACAGT TTAACAGTATCAGAAA 261 cg11388238 GGTCTTGTGTGTTCAGAGGCTGGTTTTA  2 201375098 KCTD18 CAGGTGAAGAGAAGAAACAGCCGCAG AAGTTG[CG]ATTGTCCAAGGTCACTTA ATAAGTGGCAAGAATTAGGATGTTAAG TGTTCTCACCCCCAG 262 cg11653266 ACCCCTGGACGCTGCGTCCTGATTTCC 17  73901339 MRPL38 CCAGGGACGCAGGCCTGGTTGGGAGA AGGGGTG[CG]AGCTCCGATTCCGGACT CTGCTTGGGTTTAAAACCCAGATTGAG GGCTGGGCGCGGTGGC 263 cg12413566 ACCAGGGGGTGATGCCAGACATTGCTC  3  39235366 XIRP1 ACTTTTTCCATGTAGTCAATGTCAGTCC TGCAG[CG]TCAGCTGGGATGGGGGTAA GGACATCTGGGAACCCCCTCTTCCTGG TCTCCCTCCCTCTT 264 cg12616277 GGGCCCCGAGCTGCGCCTGTCCAGCCA  3 138153763 ESYT3 GCTGCTGCCCGAGCTCTGTACCTTCGT GGTGCG[CG]TGCTGTTCTACCTGGGGC CTGTCTACCTAGCTGGCTACCTGGGGC TCAGCATAACCTGGT 265 cg12941369 TCACATGTTTCGTTTCTAGTCCTGAAAC  3  33839389 PDCD6IP ATGGTTAAGTGCTTGCCTCCTAGGGCC TCTGC[CG]CAGGCTTTTGGTTTGGAGG CTCTCCTTTGCCACTCCACCCCTCTCCA CTCTTCTCCTCTT 266 cg12985418 ATTCACATTTAGTTCGCCTAGGAAAAC 18  19320538 MIB1 TAGCAGTTAGTGAAAAACTGGCCACAT CACAGC[CG]CACAGCTCCAGCAGCCCG GGTAGCTTCCCCACCCTCACTTTCTCCA GCCCCGCCTCCAGG 267 cg13129046 CTACTCAAGGGGCATCCACGGAGCTGG 10  71389696 C10orf35 GTCAGCAAACATAACACTGGTCATCTG AGCCTG[CG]CCCGCCCTTCCTCCCAGG CCAGGGCGCCCCCACCCCCTGGGTTTT TCCTCCGTGGACGCC 268 cg13269407 CAGACACCGAGCCGCGGCCACAGGGC 22  46450107 C22orf26; CAGCCGCACAGTCGGAGGAAGGGCCG LOC15038 GAGCGAGG[CG]GGGCCCGGGGCTGTC 1 AAGGAGAAAAACATCCCAAGGCCTGC AAATTGCTGCTCTCAGCTT 269 cg13302154 AAGGGTTCATCAGGATGGAGATATCCG 12  15039432 MGP GTGCACCATGAGTTCTGTTTCCTTAATC AACAC[CG]TTGTAACTTGCCCATCCAG TTTTGTGACATTAATTCAAACCTGTGCC CTAGTCCTCTTTT 270 cg13547237 GCAGTGCATCGAGCTGGAGCAGCAGTT 11  65687877 C11orf68; TGACTTCTTGAAGGACCTGGTGGCATC DRAP1 TGTTCC[CG]ACATGCAGGGGGACGGGG AAGACAACCACATGGATGGGGACAAG GGCGCCCGCAGGTGGG 271 cg13828047 TCAACATACTACATGATTTGCTTACAA 15  75182130 MPI TACTTGTCTGTCTTGCCTTCACCAGAAT GTAAG[CG]CTCTACAAAGGCAGAGGG AAGGCTATCTTGCTCTCTGATGTATCCT CCAGCCCTTAGAAC 272 cg13931228 GGTGTGAATCACACTGCCCGGTCGGGC  7  24612418 MPP6 CTTTGGGAAAAAATTAATGAAGGACAC AGTCAG[CG]CCGTAGAACCTGCCAAAT ACACATCAGATCCAGTGGAGTCTGTGA AGGGGGAGGGGGAGA 273 cg14060828 GCCTTTCTCGGGATCTATCTTTCTGTGT 19  49926276 PTH2 CTCTTTCCCTTGCTGATTTTCTGTCCAT TTCC[CG]CACCACCACTACCACCAAAC CCTCCTCCCGCCTTCCCCCACCCCTAGT CTCTGTCTTCTC 274 cg14163776 ACTTTGCTCCTGGTGGTTTTCACTGTTC  3 195164580 ACAP2 TGCCATGGTGGGGTTCTGAAGACCAGG CTCAT[CG]TACTCACCTTGCAACACCT GCCCCTCTAATCCACACTTTTTCTAGAA GCACTTTAAGATA 275 cg14175438 CGCACAAAATCCCAGCCTCAAGGGCA  7 121036729 FAM3C GAACATTTTAAATGACCCACCCATCCT AGAGATG[CG]CCAGTTAGGTCATCTTA TATATCTTGAGATAGCTGAGATGGTCA GATCAACCAAGGACCT 276 cg14408969 ACTGACAATGCTATAGCATCCTGGCCA  8  42396118 C8orf40; TATCCAGTTTTGAAAACACTACGGTGT SLC20A2 CAGCCA[CG]CACCATTTAGGACGGGGA GAATGGAAAGCCAGTTTGGAGAACAG ACGCTTTCTTAAGAGT 277 cg14409958 TCCCTAGTATCACATTCTCAGCTACTTC  8 120651652 ENPP2 TGCCTCCTTGAAAGTTTCTCATGATGA AATTT[CG]CAAAATTGTAACTAACATA AAAGATAACATTATTTTCCCCATGCTG TGGTTCAAGTTTAG 278 cg14423778 GTCAGTGTTCTTTTAGTTTGCTTAAACT  3 151985433 MBNL1; GTGTGGGTACTTGAGTCCTTTTAAACG LOC40109 ATTAA[CG]CTGGGAAGAGGCACCATTT 3 AATTAATTAATTTGTTCTGGAAGGGAT CAGTGTACAATTTT 279 cg14597908 GGAGACAGAACTTTCCCCTTTTTTCCC 20  57414960 GNASAS; ATCCCTTCTTCTTGCTCAGAGAGGCAA GNAS GCAAGG[CG]CGGAGCTTTAGAAAGTTC TTAAGTGGTCAGGAAGGTAGGTGCTTC CCTTTTTCTCCTCAC 280 cg14654875 TGTCCTTTGTGTCTTGAGCGGATGGTG 16   3493997 NAT15; GGGCCGTGGAACATGAAGGAGTATCTT ZNF597 TGTGTA[CG]TTCACAACGTTCACATCG GTGTAGGCCAGGTTGCTGGACTCTGAC TCAAAGTGTTATAGA 281 cg14727952 CCAACTTCGAGACTTGCAGTCAAAGCG 11 102218358 BIRC2 ATTTTTAAAATGACTTGTTTTCAAGCCT CTGGC[CG]CCGCCCACTCTTCTGGCCC TTGGACTTTGACCAAGATGTTTTCTCGC AGTTTTTGCAAGG 282 cg15185286 CCCCCTCGCCCGGCCCGGCGCCCACTA  6 143381675 AIG1 GCCACAGGGCCCGCTTCCCCCTGGAGA TCAGCG[CG]CACTTCCCGAGCCCTCGT AGCACTCAGAGGTCGCATCCACACCTG GGATGCCTAGGGGGC 283 cg15262928 GGAGTCCTGGCTCCCATTGGCTGCAGC  1 201924572 TIMM17A GGGAAATGGTGAACCAATGCTCATAG ACCTTAA[CG]CCCTCCTCTCGGGATCA CTTCCGCCTCTGGGGTCAGGCTCCGCC CAGCTTGCCCGGCATC 284 cg15703512 CCAGAAATTGGGCGGCAGTGAGGTCG 16  22012565 C16orf65 CCGCAAGGCTTCCCGTGGACCCTGCAA AACGTGG[CG]TGGGCATTGCACACCAT TGTACTGTATGGAAACTTCTGCAGAGG TTAGCACCGTGCCTGA 285 cg15804973 GGCTAAATTGATCAGGTTCTCCCATGT  6 137114513 MAP3K5 ACTTTTCCTTTTAAAATTTCCAGTGGCT CATTC[CG]TTATCAGTAATGAGTAATT GATTAGTGCCAACTGCCGAAGGACTTA GTATTCTCATTTAG 286 cg16034652 GTTGAAAAAGCTAAGTAATTCTGTAAA 14  93798309 BTBD7; AATGTCTACTTTCTCATTACAGTAAGA KIAA1409 TGTTTT[CG]CAGAGTTAACAGTGCTCT GGTGTAGATAACCAAGACTGCTTCTGT AAATTAGGCCTACTC 287 cg16168311 CCTCAGCCAGGAGGAGGCCCAGGCCG  1 156561947 APOA1BP TGGACCAGGAGCTATTTAACGAATACC AGTTCAG[CG]TGGACCAACTTATGGAA CTGGCCGGGCTGAGCTGTGCTACAGCC ATCGCCAAGGTCAGTG 288 cg16358826 CCGCACTCTAGTCCCAGTATTTGCTAA  4  46996264 GABRA4 GCTATTGCTTTAAAGACACCCCATTTCT TTACC[CG]CCTCCACCAGACACGCGCA CACCCTCCGCTTTGCTGCTCCATCCTTT TCTGGAGAGGAGG 289 cg16408394 TTATCCCCAAAGCAGCCCACGCCCGGG  9 137219075 RXRA TGGGCAGGGTCCCCCGGGGCTGTATGA ACAGAA[CG]TCAGACCTGGGAAGGCC CCATTCCAGAAATGGGGCCCCTCACTC TGGCACCCCCGGGTGT 290 cg16419345 CCCGCAACCTGGCAGTTACTAGAGGTC 17  73976089 ACOX1; TTGGAATCCAGACTTCTTTGCTTTCGCC C17orf106 ATCAC[CG]TCATCAAAGTGGGAAATGC ACACTTACTGTTAAAACCTAGTGTAGG GCCGGGCGCGGTGG 291 cg16744741 CAGCTGGATGCACTTGTTCTGGAGCTC  4  82126025 PRKG2 CTCTGTGAGTTCAGCAATGGCCACAGT CTGCTT[CG]ACAGCTGCTCCCGCAGCT CCTTCAAATGGTACTCCCGCTCCTGGA TCTCAGCATCCTTCC 292 cg16899442 CGGTGCTGCCTCCACGCCCGGCTTCCC 16    776458 CCDC78; CATGGCTGCTGCTGCCACTGGCACTGC HAGHL TAAGTG[CG]TTGCCAAGGCCTCTGTTG GTCCCAGGTGACTCCCAGGGCACCGCC CACAGGGGCCGGCCA 293 cg16984944 TTTCTTCAAATTAAATTGCTACAGCAG  3  99979425 TBC1D23 GAAATTACTGAACTGTGGCTCTTCTCC TACGTC[CG]CCTTCCCTATGTCAATTCC CATTTCCCTTGCTTTCTCCAATAGTTAG GACTGTAAATTCT 294 cg17274064 AAAATAATAATTAAAACTCCCTCAACT 21  40033892 ERG; ERG TTTAAGGCCGAGCAACATAATCTATTA ATTGGT[CG]CTATTAACATGCAGTTTTA TTGACCATAGCACACAGAAGTCTGATT GTGAGGGAGGAGTG 295 cg17324128 CCCTCCCCCGCCAGCCTGGCGCATTGC 10  45455500 RASSF4 GGGCCTCGGGCTCATTGCTGAGAGGGG GCACTG[CG]CCTGGCACCTCTGTTAAG CAATTTAGGGGCTACAACCTGAGCAAG ACAGATGAGCCCGGC 296 cg17338403 TGGAAGGTGCTGTTTCCTGGTACCTGT 15  92395836 SLCO3A1 CCAGCCCTCTGAGCTTTTCTCTCAGCTT CCAAA[CG]CTGCAGTTGAGAACTAGCA GATCCTATTGGTAGTGCCCTGTGGCCC ACACTCCTTGGTAA 297 cg17589341 CCAGGGGACCAGTTCCTTGGTGTTGCT 18  43304079 SLC14A1 TTGGCATTGATGCCTGAAGTGGGAGGA GAAAGC[CG]AGCCCACAAACACACAG AGCAGAGTGGGGCTCTGAGTATATAAC TGTTAGGTGCCTCCCT 298 cg17686885 TCTGAGGTTTGTGTTATTAACCCCCTAT 17  52977769 TOM1L1 TATCTTTGGTCTACCCAGGGCAGCCAA AGAGG[CG]CAGAGAAGAATGACAAGG TGCCCAGCAAGCGGCAGGATCAAAGC CTGGGTCTCTAATTCC 299 cg18031008 GGCGATTCCGTAATTTCCGCTTCCGGT  1 150266311 MRPS21 AGTGAGAACCCTTCCGGTGGGCTAGGT ACTGAG[CG]CGCGAGGTGAGGAGTTGT GCAGGGTTTGGGGAAAGGAAGGCTGG CTTGGCGAGAGGGCAG 300 cg18139769 GCAGAGCAGGCTGCCTGCCTACTTGTG  7  94286955 SGCE; CTTGATTGAAGTGGCGGTGTAGTTGTG PEG10 GTGGCG[CG]AATCAGCGTCCAGCAACA GTTTGTGGAAACTGTGGGTTTGCTGAG TATGGCGGGGGAATT 301 cg18328933 CCAGTAGAGCGGGTCAGATGTTGCCAA  3  52008538 ABHD14B CCTCTGCAGAGTAGCAATAAGCAGTAA ACGCCA[CG]CTCTGCACAGCCTCCCAG TGCTGGGCCTGGTCGCCACGCGGAGCC TTGGGCTGGGACAGG 302 cg18956095 ACTGCTGGATCGTGAGAGGTAAGCATG  8 124287111 ZHX1 CTGGCTTCTACTGAAACGCCCCTTGTC ATCACA[CG]CCCATCCCCTGGGGCGAC ACGACCCAGGCCCCGCCCCTCGGGGGG CTGCTGCGAGTCCGG 303 cg19044674 CTCGACCTCGGCTTGGGAGGCAGCGGC  1  43232628 LEPRE1; CACGACAGCCAGCAGTGTGGTCAGCA C1orf50 GCTTCAA[CG]CGCGTACCGCCATCGCT CCCTCAGACCTAACGGAACCGCCAGCC ACCCGCCACCAAGGCC 304 cg19046959 CAGTAGCAGCAGCAGCAGCGAAGACA  1  36565856 COL8A2 GGGGTGTCAGAGTCCCCAGCATGGCGT CCGTGGA[CG]TGCTGCAAAGAAGAAC AGAGAAAGTCATCAAGCCAGCCCTGG GTGGTTTGGCACTAGGCC 305 cg19420968 CGATTATCTGTACCCAAAACAGTATGA  1  32084964 HCRTR1 GTGGGTCCTCATCGCAGCCTATGTGGC TGTGTT[CG]TCGTGGCCCTGGTGGGCA ACACGCTGGGTAGGTCCAGGGCTTGCC CGGCAGTGCTGCCGG 306 cg19569684 GGGCCCTCCATGCCATCGGAGCTGGCA  5 138726419 MGC2950 TCTCCAGCTAGAAAATGGCCAGTTGTT 6 CTGATT[CG]TAGCTCTCCTAGTCAGCTT CCAGTCCAGGGCAGAGGGCAGGGACT GCTAGGGACCTGGGC 307 cg19706682 ATAACAATAATAATAATGGTAGCAAGC 16  84179331 LRRC50; AACGCTCTGCAGTAGGGGCTTCTCTCG HSDL1 CCATTT[CG]TACTGAGGAGGAAACATA CTTAAGAGGTTACAAAACTTGCACCAA ACAGATAACCCTCGG 308 cg19722847 TCTGCTTACAGCTGCTTCCAAATTAAG 12  30849114 IPO8 CATATCTGGATGGTGTGACACTTTTTGT TAGTC[CG]AGAACTGTATGGGCATCGC AACTGGGCCTGTTCCAAGATAGACTTG TTGGGACCTTCAAA 309 cg19724470 CATTCTTATGCGACTGTGTGTTCAGAA  9   5450936 CD274 TATAGCTCTGATGCTAGGCTGGAGGTC TGGACA[CG]GGTCCAAGTCCACCGCCA GCTGCTTGCTAGTAACATGACTTGTGT AAGTTATCCCAGCTG 310 cg19761273 GGACAAAGCCACCACCTTTCACAAAAT 17  80232096 CSNK1D GAGGCCAGACCACCTGCCTCCCTCCAG TCCCTG[CG]GCCTGGAGACGGAGTCAA CATTCTTATCTGTGTTGGATCTGAATGT TCCTCCTTGCAAAG 311 cg19853760 AAAAGGGTGGGAGCGTCCGGGGGCCC 22  38071677 LGALS1 ATCTCTCTCGGGTGGAGTCTTCTGACA GCTGGTG[CG]CCTGCCCGGGAACATCC TCCTGGACTCAATCATGGCTTGTGTGA GTGTGGGGACCCCCCC 312 cg20100381 GACTAGCATTTTATTTCCATTGGACAG 16  66864408 NAE1 CGCTGGCTGAGAACAAAACCTAACCCT CTGTGC[CG]CCCTCGCGGCCGGGATGC GGTGCGCCCCGGGCCTCCCCATTCGGA AAACGAGGAGCCTGG 313 cg20240860 ACTGCGATGAAAGGCCATAAGGATGCT 11  44087423 ACCS CACACCCGAATCTAAAAAGCCCTTTGT GTGGGC[CG]CAGCCAAGCATACTTTGG CAAGAAATTTCTGTGGCTCTAACCTCC TTTGAAAACTGGAGA 314 cg21211748 GACGGAGACAGAGGGTGGTTCCGGGA  1  23858035 E2F2 TTCACAGTGCAGAGGCGGCCAGAGCA GTGCACAG[CG]CCCCGAGAAATGGGC CCGGATTCCCTGGGATTGAAGGGAAAC ATTTTGGCGCGGGGTCCC 315 cg21305265 GTAGTCCCCGAGGTCACAAGGCAGTGG  8  25316571 KCTD9; CAGGTGTCTGTAGTCCTCGGGTTGACT CDCA2 GCAGCT[CG]CGGTGGTCCCTCTCCGAG CCCAGGAAGCCACTCCAGTGCCGAGG GAGAGGCCTGGGAGCG 316 cg21370143 AGACCCAACCCCAGTCCTAAAGCTACC 11  47374208 MYBPC3 TGGCTTCTTCCCCGGCTCAGGCATCCT GAGAGA[CG]TCACACCAGGCACGAAG CAGGCACAGGTCACCCAAAGAGGGAC TGAGTGGGGTCCTGTCC 317 cg21395782 GGCCTGCGCAACACCCCAGAGGCAAG 19  19626814 NDUFA13; GTGAACGCGAGGGCCTATAATGCAAG TSSK6 AACCAAGG[CG]AGTCACGCCCTGTCTG GGCAAAAGAGGAGTAAAGACCCCTCA GCTGCAGCCCGGCAGCGC 318 cg21950518 GTCGGCCTGGCAGGCGCGGCCCCCGGT  5  55290746 IL6ST TCAGCTGCGCCGGGGCGGCCCAGCGCG ACTCCG[CG]GGCCTTTTGGCTGCTCGC CCCGGCTCCGGAACACTGTCAGATCCT TCTCCGCAGAGGTAG 319 cg22171829 CTGTGTCCCCTCTCACCAAAGTCCAGT  7  95225520 PDK4 AGCTGCTTCATGGACAGCGGGGACGG GCTGTAG[CG]CGAGAAATGCTCCACCT CTCGGGGCACCAGGCCGGCGCCGTTGA GCGAGCCAGCGCTGCG 320 cg22190114 TTTTATTGTTTTATGTCTCTGCAGGTCT 19  56459234 NLRP8 CGTGTTTCTCTCTTCCAATCGGTTGTCT TTAT[CG]TGGACACTGAGGTGTTCTCT GCCTTGACTAAAGATGAGTGACGTGAA TCCACCCTCTGAC 321 cg22197830 GAAGGCTCCTGGGCCTTTCTGGCTCTG  5 134209784 TXNDC15 GGAATGAAGCGTGGAAAACCCTCCTTA GGCGGG[CG]CAGTGCTTCAAGTAGCCA AGCTCTGACTTCCGAGGGAAGAAAGG AGGCCATGGGCCTCTG 322 cg22568540 GACCACGAGCATGGACATGATGGTCGC 19  58864846 NCRNA00 GCTCACTCCGGTGCAGTGAGTGTCTGG 181; A1BG GGTGAG[CG]TCTGCAGCAATGAGGCCC CAAGGGAGGGCGGTGGGGTGGCTCGG GCACTGACCTCTTCCC 323 cg22613010 ATTAGGGTAGGCCCCTGGTCCTCGCGC  3 184079172 CLCN2 TTCCCAGGGTAACCTGGAGCAGGGGTC CCGGAG[CG]CACTCCTGGGGCTCAGCT CAGCTTCACTTACCAGGGTCTGCTCGT ACTGCAGCGCCCGTG 324 cg22637507 GCCTGTGATTGGGAGTTGCTGGAGTCG 11  43902407 ALKBH3 GTGCTTCACTCTTAAGGTTCCGATCAC AGACTG[CG]GAGTGGGTCAGGGGCTG CGAGGGCTGCCCCAAGTCCTACCGGGT TTGCACGGGCGCGCCC 325 cg22947000 TAGCTATGACACATGGCTTGGAAATTA 16  81272281 BCMO1 ACCTTTAACCAAACATCTTATAAGTAA CGCCAG[CG]CAGCTTCCCTTGTGAATG TAAAGAGATCCAGGGCTCTTGGAGAG GGACAAGTGAGAGCCA 326 cg23092072 CAAAAAAGGCGGGCTGTTTTGTAAATA  4  87927706 AFF1 TTTGTCTCTATGTAAGGAAATCAAAAC TGAAAG[CG]GAGTAACACCAAGTATG CCCGTTTCTTGAGCTCAAGCACTGGAA GGATCAAAAGTAGCGA 327 cg23124451 TCAGTCTCCCCATATTTACAATAAAAG 22  39548131 CBX7 GGGAGCGAGGTGGGATGGCGCTGAGG ATCCCTA[CG]TCCGATCCTAATCTCCA GCTCAGGCAGGCTCGGCCGCCACTAGC ATCCTGGAGCGACAAC 328 cg23180365 AACCCCGGCATGACCACCAGCCTCCCG  3  33138627 GLB1; GCTCTGCAGTCGGCGCCCAGGCCGGCC TMPPE GCTTCG[CG]TCACTTGACTAAGGACCC ACGGCCTGGCACCGCCCCTCGTCGGCC CAGCAGCCAGCCCTC 329 cg23786576 AGAGACTCCCAGCTCTGACACCAATTA  1  47133596 ATPAF1 GCTGTGTGATCTTGGGCAAGTGACCTA GCCTCG[CG]GAGCCTGGCTACATCATC TGAAGAGCTGGGACAGTACTAGTGCCC ACCTCACAGGGCTGT 330 cg24058132 GGGCCATGAGTGGCCCTACCATGGCTC 14  88459866 GALC TTCCCCAGCATCTCAGGGAGTATCTAC CTCGTG[CG]AGGACCAGGCTTGGACAC CAGGTCCCGATTCCATTGTCATCTTGGT GGAATCACTTTGCT 331 cg24081819 CGCGCTGGGCTTGCAGCCCAGCTTTCA  8  27348940 EPHX2 GATTGCTCCTGTGCCGGAGCCCTGCGA ATCATG[CG]AATCATGAAACTGAAGAC CTGGCCCTGAAGTCCCAGTGCATATGA GGAGATCCGTTGTCT 332 cg24471894 TTTTTCTTGTGCTGTCTTTGTACTCTTTC  9   2838508 KIAA0020 CTGTGAATTGCTTTTTCCCTTTAACTTC CAT[CG]TAGCAACTCTGGAAAACCAAA ACCAAAACCAAAAACAATCACTGCAG TTCTCTTCATCAA 333 cg24888049 AGCATTGCTGGTTCTATTTAATGGACA 15  91426667 FES; TGAGATAATGTTAGAGGTTTTAAAGTG FURIN ATTAAA[CG]TGCAGACTATGCAAACCA GGCCCAGTCTCCAGTGTGGTACCGTTG CTCCTGCATCGCAGC 334 cg24899750 GGAGGAACTGGCTATCCTAAAGGTGAT 20  16710314 SNRPB2 TTTAAACCGGGGTAGCTAGAGCCCAAA GAAGGG[CG]AAACCAGGACTAACTGC CCCATAGCATGAGGGGCAGCGCCTGTA AAATTACATAGGATTT 335 cg25101936 CTGGCCCACCCGTGAGTCACGGACAGA 11 113929164 ZBTB16 ACATGCAGACTCAGGCCTTGGTGACAT AAGCTC[CG]CATTGCTAAAACCGCGTG ACCTCGAGGGCTGACTGGCCTGAGAAC CCTGGATGGCGCTCT 336 cg25159610 GCCATCTTGTGGAATGTTCCGGAATGC  5  57756802 PLK2 CGTTAGGTGTCGAAGTGGGCAGCGGTT GACAAC[CG]TGGGCCTTTGACAGTTAC TAGTACTAAACATCGATGCCGATTGTG AGTTTCCAATCAGAG 337 cg25166896 CGTGGTCCCTGCAGGGTGTGTGGGCTG 22  20009063 C22orf25 CTCGGCCTTGGCCAGCATCAGGGACAG CTCTGG[CG]CCCGGTCACTCTGCCCCC TACCCGCGGCCTGCTGCGGGCCAGCAG GGTGACAGCTAATGT 338 cg25411725 TCTACCTGTCTCATTTGAGTTGAGTGTG  3  38306672 SLC22A13 AATTGTTTAGGATATTGCAATTAGAGG TGGTG[CG]GGCTGGCTGGTTGCTATAA GCCATCTTAACATTTGGCTAAGCTCAC TCCTGTGTGCTGGG 339 cg25564800 GATGGAATGAATGATGGAATGATTGAA  3 122234134 KPNA1 GGCTGAGGGAGTATTACAAAATTAGTA GGTCAG[CG]CCTCGTGTCTAAAGGGCT CACATGCAGCATGAATGCAGGAAGCTT CTGGACATTCCTTTT 340 cg25657834 CGAGCTGCCTGGTTAGTGAGCACCTCC  2  11810365 NTSR2 TCTTCTCTGGGAACCTCTAGAACTGGG AGGACA[CG]CCCCCGAAAGGGTGTCCC TGAGCCAACGTGGGACCGCGAGTGCC AGCCCGTTAGCGTCGG 341 cg25809905 ACTTGATTCTGGTTGGGGGCTTTGCCT 17  42467728 ITGA2B AGGGGAGCCTTCCCTGACTCCTCAGGC TGGCCG[CG]TGGGCTAACACACGTAGG CACAGCATTGAGCACACTGTTTACTCT TGGTCCGTTCACAGG 342 cg25928579 AATGAGTTGTTTCATATTTTGCACTGTC 17  46692534 HOXB8 TTTTCATGATCATTTGCATCCATTAGAG ACCC[CG]CATCCTATTGGCTTCTTCGTA CTCCTCCCGGACAGAACGCAGAGCGA GGGTGAGAGCGAG 343 cg26043391 AACTCCTGCCTCCCTCTCCCCCCGGCC  1 224302174 FBXO28 GAGGTCTGGGAGATGAGAAGGGAGCG CGTTCCC[CG]GGAAGGGAGCCCCCCGC GAGCCCCAGCCGGCTACAGATCTGGGA GGGAGCCGCTCCCGTC 344 cg26162695 AAGCGCCCACATGCGCCCGTCTCCACC 17  12921313 ELAC2 AAAACTGAGAAAGCCGCCGGTCACCT ACGCCCG[CG]TTTCCCGTGCACCACCT AGCCGCTCCGCATGGCGGATCCAGCCA ATCAGCGCGCCGTGCA 345 cg26394940 TAAATAAATAAGGGCTTTTGTTTGTTTG 22  46449461 C22orf26; CCGGCTCCTGCACATGGCTGCTGGGAC LOC15038 TCAAG[CG]CTCGTGTTGTCTGCGCCTCT 1 GTGGGACTCTGGGGACGGGAGGCAGG GGAGGCCCCCGCAG 346 cg26456957 CCGGGTAAAGGGGATGAATAGCAGAC 19  55629363 PPP1R12C TGCCCCGGGGCAGTTAGGAATTCGACT GGACAGC[CG]CGTGGGAGGGAGTGCG GGGAGAGGCAGAGTTGTTTTGTTATTG TTGTTTTATTTTGTTTT 347 cg26614073 CTTGGGCAACGTAGGAGACCTCCGTCT  3  47517819 SCAP CCACAAGTAAAATTAATTAGCCGGCTG TGGTGG[CG]CGCACCTGTGGTCCCAGC TACTCAGGAGGCTGAGGTAGGAGGAT CACCTGAGCCCGGGAG 348 cg26723847 AGCCTGCAGGTGGGTTTGTTAGGGGGA 11 134095652 VPS26B; GACCGCTCTGCCAATACTGGCTTTCCC NCAPD3 ATCGCC[CG]GCCATCTGCAACTGCCAG ACGCAAAGTGAGGCTCGTCCACCGAGC CCCACTTCCCAGAGC 349 cg26824091 GGACTGGTACAGGACAGGCATCTTTGA  6  38670437 GLO1 ACCTATTTCTGGGAGTTCTGAAACTAC TGTTCT[CG]TGGGCCTTGGCGACTGAT TTGGGAAAGCTGACCCTGGGTTGGCCT GGCTTCCAGCCACCG 350 cg27015931 TGTTTTTGTGGGAGGCCTTCTGCATGGT 16  22012404 C16orf65 CCCGGGAGGTCAGGCAGCCCGGGAGG GCCTCC[CG]GAGCAGAGGCTGGAGTCA GTCCCAATGCCAACAGTTTCGAACCTT GCCCGCGGGCACTGC 351 cg27016307 TCTCTCCCTGGCCAGGAGACGGTGGCC 19  49658913 HRC AAGGGACTTGACTTTGAACTACCAACA AGCTCA[CG]TTTGGCAGCTGCAAAGAC AAAGGCTAGACTTTTAGCAGGTTTTTG GGGGAGCCTGGGGCA 352 cg27202708 CGGGCAAGGTCTGAAGACTGCGAGGA  1 223566709 C1orf65 CCCAGCTGCCAGGCGCATTGTGAAGTG GCCCGAG[CG]TCACAGGCGACCCGGA CCTCGGGACCGGGGGGCAGGGCGGGT GTCTGCAGCGTCCTCGGG 353 cg27544190 GAACCCTCGACTGGGGGCAGCCGCACC 21  33785434 C21orf63 AGTGGACACGGCGGGGTAGGATTAAA GTTGAGG[CG]TGCTCACAGACACTTGT CTGGTGTGAGCCCTTGGCATATAGATG GCTGCGAGTGAAGTGG 354 cg21296230 GGTGCGTTGTTCGCGGGGGTGAATTGT 15  33010536 GREM1 GAAGAACCATCGCGGGGTCCTTCCTGC TGAGGC[CG]CGGACACCGTGACCTCGC TGCTCTGGGTCTGCAGGGAAACGTAGG AAAAAAAGTTGTCAG

TABLE 4 Listing of 110 CpGs Subset Sequence with the CpG  Chromo- Probe site marked with [ ] some Position Gene cg00075967 GGTGTGGCCAGGAGCCACCCCCACCCC 15  74495354 STRA6 CGCACCTGACTTCACACACATACCTGC CTTCAG[CG]CCTGCCCCAGAGCTCCCA AGCCCCTGCCCGCCACATCTGCAGTGC CGCACACAGACAGGA cg01511567 GTAGTTTTATTGTATCAGACTTAGTACA 11  57103631 SSRP1 GGGGTGGGGTGGGGGTGTGTATTGGAA TGATG[CG]TGCCCGTTTCTCTGCAAAA TAGTTTCTATGTCATGGAAAGGAGTCG ATGGGACAAGAAGA cg27544190 GAACCCTCGACTGGGGGCAGCCGCACC 21  33785434 C21orf63 AGTGGACACGGCGGGGTAGGATTAAA GTTGAGG[CG]TGCTCACAGACACTTGT CTGGTGTGAGCCCTTGGCATATAGATG GCTGCGAGTGAAGTGG cg19761273 GGACAAAGCCACCACCTTTCACAAAAT 17  80232096 CSNK1D GAGGCCAGACCACCTGCCTCCCTCCAG TCCCTG[CG]GCCTGGAGACGGAGTCAA CATTCTTATCTGTGTTGGATCTGAATGT TCCTCCTTGCAAAG cg17324128 CCCTCCCCCGCCAGCCTGGCGCATTGC 10  45455500 RASSF4 GGGCCTCGGGCTCATTGCTGAGAGGGG GCACTG[CG]CCTGGCACCTCTGTTAAG CAATTTAGGGGCTACAACCTGAGCAAG ACAGATGAGCCCGGC cg27015931 TGTTTTTGTGGGAGGCCTTCTGCATGGT 16  22012404 C16orf65 CCCGGGAGGTCAGGCAGCCCGGGAGG GCCTCC[CG]GAGCAGAGGCTGGAGTCA GTCCCAATGCCAACAGTTTCGAACCTT GCCCGCGGGCACTGC cg26614073 CTTGGGCAACGTAGGAGACCTCCGTCT  3  47517819 SCAP CCACAAGTAAAATTAATTAGCCGGCTG TGGTGG[CG]CGCACCTGTGGTCCCAGC TACTCAGGAGGCTGAGGTAGGAGGAT CACCTGAGCCCGGGAG cg02275294 GTTTGAATGTTGCTGAAGGACGCTGGT  1 179262462 SOAT1 TTTCAAACGGTAAGGAATCTCCTGATA AAGGCA[CG]AATCTTGGTGTGCAGATA AGCCAGCGATTCTTGCTTCTGGCTAGT TCTACGTTGTTCCTG cg19722847 TCTGCTTACAGCTGCTTCCAAATTAAG 12  30849114 IPO8 CATATCTGGATGGTGTGACACTTTTTGT TAGTC[CG]AGAACTGTATGGGCATCGC AACTGGGCCTGTTCCAAGATAGACTTG TTGGGACCTTCAAA cg19167673 TTTTCTCTTTGCAGCGAGGCTGGAGGG 22  39640835 PDGFB TGGGCTTTTTTTTTTTTTTTTCCTTTTTG CGCG[CG]TATGTATGTGTGTGCGCGCA AAGTATCTCTATCTAGGGAATGAAAAA TGGGCGCTGGCGG cg07388493 GGGAGCCAGTGTTCTTTCTCTCCTGTG  1  39491459 NDUFS5 ACTTTGGTGAAGTCTCTCACCACTCAG TGTTGT[CG]TGAGCATGCTAGGCAGAG TGCAAGAAAGGAGCAAGAACTCACTA ATGGCTAGGCCTTCCC cg08331960 TCGGGGTCCCTTGGCCTGGAGACCCTT 16   2076597 SLC9A3R2 TGTCCAACCCGTCGCCCACCTCAAGAC CTGCCT[CG]ATGCTGCGCATACAGTAG GTATCCAATAAATGTTCCTGGGATAGA AGGCAAAGGCGCTGG cg05442902 GCCAGGTCACCCTCTCACTCTGTGCCT 22  21369010 MGC1670 CTTAGTTATCTTGCATGCTCTGGTCTTT 3; P2RX6 GCATA[CG]CTGCTCCCTGCACCAGGAA CCTCCATCCCCATCTTTGTCTGCTTGTC GAACTTCAGAAAT cg01459453 GCAAGTTTAAAAGTACTCACAAAATCT  1 169599212 SELP AATAGGCAATTCAACATAAAACTCCAT GGCTA[CG]TCTGTTCCTCACTTTCTGAA CCTTTACCTGCCTGACTTTACTCCATAC CACTCCAACTCAC cg03286783 TTTCCCCGCCTCCCAACCGTGAGGTGT 15  44580973 CASC4 TGGGTTTGGGGGACGCTGGCAGCTGGG TTCTCC[CG]GTTCCCTTGGGCAGGTGC AGGGTCGGGTTCAAAGCCTCCGGAACG CGTTTTGGCCTGATT cg03019000 TGAGCATAGTTGTCACCTTCCCCACCT  3  51704351 TEX264 CCCACCAAAAGTCCGGGATTTTCACGA GGGGAG[CG]TTTTATCTTTGGGCCCCT AGAAGAGTGCTTTGTAGTTTGTAGGTC CTCAGAAATTTGAGG cg16744741 CAGCTGGATGCACTTGTTCTGGAGCTC  4  82126025 PRKG2 CTCTGTGAGTTCAGCAATGGCCACAGT CTGCTT[CG]ACAGCTGCTCCCGCAGCT CCTTCAAATGGTACTCCCGCTCCTGGA TCTCAGCATCCTTCC cg07158339 TACAGGGCTTAACTCATTTTATCCTTAC  9  71650237 FXN CACAATCCTATGAAGTAGGAACTTTTA TAAAA[CG]CATTTTATAAACAAGGCAC AGAGAGGTTAATTAACTTGCCCTCTGG TCACACAGCTAGGA cg11388238 GGTCTTGTGTGTTCAGAGGCTGGTTTTA  2 201375098 KCTD18 CAGGTGAAGAGAAGAAACAGCCGCAG AAGTTG[CG]ATTGTCCAAGGTCACTTA ATAAGTGGCAAGAATTAGGATGTTAAG TGTTCTCACCCCCAG cg25070637 TGCCAATCGGCGTGTAATCCTGTAGGA  8  97505868 SDC2 ATTTCTCCCGGGTTTATCTGGGAGTCA CACTGC[CG]CCTCCTCTCCCCAGTCGC CCAGGGGAGCCCGGAGAAGCAGGCTC AGGAGGGAGGGAGCCA cg13547237 GCAGTGCATCGAGCTGGAGCAGCAGTT 11  65687877 C11orf68; TGACTTCTTGAAGGACCTGGTGGCATC DRAP1 TGTTCC[CG]ACATGCAGGGGGACGGGG AAGACAACCACATGGATGGGGACAAG GGCGCCCGCAGGTGGG cg13931228 GGTGTGAATCACACTGCCCGGTCGGGC  7  24612418 MPP6 CTTTGGGAAAAAATTAATGAAGGACAC AGTCAG[CG]CCGTAGAACCTGCCAAAT ACACATCAGATCCAGTGGAGTCTGTGA AGGGGGAGGGGGAGA cg22947000 TAGCTATGACACATGGCTTGGAAATTA 16  81272281 BCMO1 ACCTTTAACCAAACATCTTATAAGTAA CGCCAG[CG]CAGCTTCCCTTGTGAATG TAAAGAGATCCAGGGCTCTTGGAGAG GGACAAGTGAGAGCCA cg00431549 TAACTGCTGGACCTGACTGTGTTACAC 12  15039025 MGP AGGATGCTGCTCTGGTGCAGAAGTTTT GGCCAT[CG]TATGCTTGGGGACAGACC TGGGCAAAAGCCCACAGAGGAAGTTG CCACAAACACATGATC cg25809905 ACTTGATTCTGGTTGGGGGCTTTGCCT 17  42467728 ITGA2B AGGGGAGCCTTCCCTGACTCCTCAGGC TGGCCG[CG]TGGGCTAACACACGTAGG CACAGCATTGAGCACACTGTTTACTCT TGGTCCGTTCACAGG cg26394940 TAAATAAATAAGGGCTTTTGTTTGTTTG 22  46449461 C22orf26; L CCGGCTCCTGCACATGGCTGCTGGGAC OC150381 TCAAG[CG]CTCGTGTTGTCTGCGCCTCT GTGGGACTCTGGGGACGGGAGGCAGG GGAGGCCCCCGCAG cg08090772 TCTTACTCCGTGGGAAAATGGCCCTGA  8  67344640 ADHFE1 GCCCGACTGGCTTGAGGCTTAGACAGG TGACCC[CG]CGAAGCGGGTGGGCAGG CGCGGCCGAGGGGCGGGAGGCGGGCA GCCTCCGTGATTGGCCG cg01027805 CGGTTTGGAGACGGGGGGCGCTGTCGG 14  21566863 ZNF219; C AGGGAGGGAGGAAGGGAGGGAGCGG 14orf176 GGGTGGGG[CG]CACAGAGGATTCCAA CAGGAGACTGGAAGAGATTTTGAAAG GTCATCTCGTCCTTCCCCC cg04474832 CCAGCCAAGTGGCCTTGATCGTTTTCC  3  52008487 ABHD14B CAATGCCCCCGAGCCTGTTTCCTGCCA GTAGAG[CG]GGTCAGATGTTGCCAACC TCTGCAGAGTAGCAATAAGCAGTAAAC GCCACGCTCTGCACA cg24899750 GGAGGAACTGGCTATCCTAAAGGTGAT 20  16710314 SNRPB2 TTTAAACCGGGGTAGCTAGAGCCCAAA GAAGGG[CG]AAACCAGGACTAACTGC CCCATAGCATGAGGGGCAGCGCCTGTA AAATTACATAGGATTT cg04268405 TGACGTTACGTACTGGAAGTCCCAGGA 10  73723221 CHST3 GGAATGCCCAGCAAGTGGAATCCAAG ACGTTCT[CG]CCTTCTCGGGGACAGGG CCATCACCAGGATTCGGAAAGGAACA GGGAGGTTCGGTTTGTG cg12413566 ACCAGGGGGTGATGCCAGACATTGCTC  3  39235366 XIRP1 ACTTTTTCCATGTAGTCAATGTCAGTCC TGCAG[CG]TCAGCTGGGATGGGGGTAA GGACATCTGGGAACCCCCTCTTCCTGG TCTCCCTCCCTCTT cg01820374 GGGAGGCTCAGTTCCTGGGCTTGCTGT 12   6882083 LAG3 TTCTGCAGCCGCTTTGGGTGGCTCCAG GTAAAA[CG]GGGATGGCGGGAGGGTT GACCTCCAGCCCCACAGGAGGGGACC AGCAGGGATCTCTGTGG cg06557358 AGCATCGAGACAGCGGGCGAACGGGC 17  32907002 TMEM132 GTCCGGGGACAGGGTGGGGGCGGCGG E; C17orf10 GGAGGAGG[CG]TCGGAGACTCTGAAC 2 CCCAGAAAAGTTCAAGGTTTGTGCAGG TTCCCCCAGGGAAGGCGA cg09809672 CCCCAGAGAGCTTTCATCTAGAAGGTT  1 236557682 EDARAD TGACTCTGGCCAGACAACCAGCGAGCA D TCTTCT[CG]CAATCTGTTGCTTCTTCCA TGGCAAACTCCAGAGAATTAAGAAGC CAAACTCAACATCGC cg18328933 CCAGTAGAGCGGGTCAGATGTTGCCAA  3  52008538 ABHD14B CCTCTGCAGAGTAGCAATAAGCAGTAA ACGCCA[CG]CTCTGCACAGCCTCCCAG TGCTGGGCCTGGTCGCCACGCGGAGCC TTGGGCTGGGACAGG cg22197830 GAAGGCTCCTGGGCCTTTCTGGCTCTG  5 134209784 TXNDC15 GGAATGAAGCGTGGAAAACCCTCCTTA GGCGGG[CG]CAGTGCTTCAAGTAGCCA AGCTCTGACTTCCGAGGGAAGAAAGG AGGCCATGGGCCTCTG cg13828047 TCAACATACTACATGATTTGCTTACAA 15  75182130 MPI TACTTGTCTGTCTTGCCTTCACCAGAAT GTAA[CG]GCTCTACAAAGGCAGAGGG AAGGCTATCTTGCTCTCTGATGTATCCT CCAGCCCTTAGAAC cg19724470 CATTCTTATGCGACTGTGTGTTCAGAA  9   5450936 CD274 TATAGCTCTGATGCTAGGCTGGAGGTC TGGACA[CG]GGTCCAAGTCCACCGCCA GCTGCTTGCTAGTAACATGACTTGTGT AAGTTATCCCAGCTG cg01407797 TGATTATATGTACTATTATTATCTCATT 22  29168514 CCDC117 TTACTACTGTGGAAACTGAGATACGAA ACTTG[CG]GAGTGAGGATTTGAACCTA GGTCATACTCTTGGCCAGCCAGAGACA CCCTAAGCCCCAGC cg07408456 GGCCTGGAGACCAGGTGGTTCAGACTC 19  15590532 PGLYRP2 CATAAACTCTGCCCATTCTCCAGTGAG GTGGAC[CG]AGGCAACCCCTCAAGTCC TGTCCCTCCCCATAGTGACGGCTCTGT AGCCGCTGCTGGCCA cg27202708 CGGGCAAGGTCTGAAGACTGCGAGGA  1 223566709 C1orf65 CCCAGCTGCCAGGCGCATTGTGAAGTG GCCCGAG[CG]TCACAGGCGACCCGGA CCTCGGGACCGGGGGGCAGGGCGGGT GTCTGCAGCGTCCTCGGG cg01570885 GGAGGAGGGTTGGAGAGCAGGGCCGT  6   3849272 FAM50B GTTGCAAGGCTCTCTGGGTGGCCACAG CAGCTTG[CG]CTGCGCCCACATTGCTT CTGCGTGTTTACAGTTGGGCACGAGAA GGCTCAGCACGCACGC cg24058132 GGGCCATGAGTGGCCCTACCATGGCTC 14  88459866 GALC TTCCCCAGCATCTCAGGGAGTATCTAC CTCGTG[CG]AGGACCAGGCTTGGACAC CAGGTCCCGATTCCATTGTCATCTTGGT GGAATCACTTTGCT cg11025793 TGGTCTCCCCTGGAGGGTGGGCGGGTT 19  13262015 IER2; STX ATCTGAGGGAGTCCTCGGAGGGTCGCC 10 CCCTTG[CG]CGTCAGAGTTGCTGCGTG GGGTCTCAGAGATAGCGCCTGGGCTGG GGAAATCATTGTGGG cg19853760 AAAAGGGTGGGAGCGTCCGGGGGCCC 22  38071677 LGALS1 ATCTCTCTCGGGTGGAGTCTTCTGACA GCTGGTG[CG]CCTGCCCGGGAACATCC TCCTGGACTCAATCATGGCTTGTGTGA GTGTGGGGACCCCCCC cg02217159 TATTTCCGATGACCTACATCTCAGGGA  6  62996697 KHDRBS2 CGCAGTAGGATGTTCATTGATAAACAA ATAAAG[CG]GCTCGAAGAAATATTGTG CAGAGACATGATTGAGGTGTACAATCA TTAGGATATTGAATT cg27319898 GGAATTCCTGATTCCCTGGTGGACCCT  7  88389003 ZNF804B GGAAGTTGTCCTTAAATAAATATATCG CTGGCC[CG]CGGTTGAGCAGCCACCTC GTCAGAGCAGCATGTGGACTGGCTCGC CGGGTCCCCTCCGTG cg13269407 CAGACACCGAGCCGCGGCCACAGGGC 22  46450107 C22orf26; L CAGCCGCACAGTCGGAGGAAGGGCCG OC150381 GAGCGAGG[CG]GGGCCCGGGGCTGTC AAGGAGAAAAACATCCCAAGGCCTGC AAATTGCTGCTCTCAGCTT cg14654875 TGTCCTTTGTGTCTTGAGCGGATGGTG 16   3493997 NAT15; ZN GGGCCGTGGAACATGAAGGAGTATCTT F597 TGTGTA[CG]TTCACAACGTTCACATCG GTGTAGGCCAGGTTGCTGGACTCTGAC TCAAAGTGTTATAGA cg13129046 CTACTCAAGGGGCATCCACGGAGCTGG 10  71389696 C10orf35 GTCAGCAAACATAACACTGGTCATCTG AGCCTG[CG]CCCGCCCTTCCTCCCAGG CCAGGGCGCCCCCACCCCCTGGGTTTT TCCTCCGTGGACGCC cg12941369 TCACATGTTTCGTTTCTAGTCCTGAAAC  3  33839389 PDCD6IP ATGGTTAAGTGCTTGCCTCCTAGGGCC TCTGC[CG]CAGGCTTTTGGTTTGGAGG CTCTCCTTTGCCACTCCACCCCTCTCCA CTCTTCTCCTCTT cg09191327 GCTCCGTGCTCCCGGCTGAGGCCCTGG  9 133540108 PRDM12 TGCTCAAGACCGGGCTGAAGGCGCCG GGACTGG[CG]CTGGCCGAGGTTATCAC CTCCGACATCCTGCACAGCTTCCTGTA CGGCCGCTGGCGCAAC cg22171829 CTGTGTCCCCTCTCACCAAAGTCCAGT  7  95225520 PDK4 AGCTGCTTCATGGACAGCGGGGACGG GCTGTAG[CG]CGAGAAATGCTCCACCT CTCGGGGCACCAGGCCGGCGCCGTTGA GCGAGCCAGCGCTGCG cg17338403 TGGAAGGTGCTGTTTCCTGGTACCTGT 15  92395836 SLCO3A1 CCAGCCCTCTGAGCTTTTCTCTCAGCTT CCAAA[CG]CTGCAGTTGAGAACTAGCA GATCCTATTGGTAGTGCCCTGTGGCCC ACACTCCTTGGTAA cg09722397 TCGGGGTATTTTTAGGCCGGCGATAAA 17  72855943 GRIN2C TAATTCATAGGGAACGTGGCATCAGGC TCCCCC[CG]CGGGAGGAGGGGGCGCG AGCAGCGAGAGCCACCGTCACCCGCG GCTCAAGGACACTCGCG cg02489552 CTCCTCCCCCCACCTCTGGAATTCCACC 19  15121531 CCDC105 TCCCTTGTTGCGCCCATCGCTATGGTG ACGGG[CG]CTCTCAGTACACTGTCTCT ACAGGCCAGGAAAGAGTTGTGTGTCTT TGGGGTCCCTTCCG cg15661409 TTGTTAATCTTTAATTTAATTAAAGAAT 14  57960976 C14orf105 TTATCCCCCAAATAGGAAAGAAAGCA GCGGAG[CG]GCTAAAGCGTCATTTGAT TTTTCTGTCGATGACTTGAGTTGCCTTT GAAGGGGGTGAATA cg06810647 TGCCGCGGGGGAGAGGAACCCCTCGC 16   1665094 CRAMP1L CCCAGCCGGGCTCCACCCTAGCTCACC CATCCCG[CG]GCCTACACTGAGGCTCT CAATTTGGGTGGCACTTATGGGGCATG TGTCCCCTCTCTCCTT cg02388150 AACCTATGAAAATAAACAAAAGCTGCT  8   41165699 SFRP1 CCAAGCATTCTCTCGGCCTTTCTGAACT TTCTA[CG]CTTTGGGTTTTTGTTTTTTCC TCCCGTCTCAGAGGTTAAAAACTTCGA TAGGGACTCGGA cg18983672 GGCAGCCAGAAAGGCAGCTCCAAGTT  1  47881256 FOXE3 GTGGATTTCCTGGGGGCTCTTCATTTA AAGCGGC[CG]CACCACTTTCCACAATT CTGTTTTTTCAGAGAATGCTCTCAAGG CCTGGAGGGAGGGCAT cg06993413 GAGGCGCGGGGTGGAGACTGGGCCGA 15  65810204 DPP8 GCAGGGGATAGAGATGAACTCCAGAA AGGAACAG[CG]ACTTGCTGAAAGTCAC AGGGCAAAATGTGGCGCGTCTGTAGTC AATAAATAATATATATT cg26842024 CGACGACGACCTCAACAGCGTGCTGGA 19  16436122 KLF2 CTTCATCCTGTCCATGGGGCTGGATGG CCTGGG[CG]CCGAGGCCGCCCCGGAGC CGCCGCCGCCGCCCCCGCCGCCTGCGT TCTATTACCCCGAAC cg21870884 GGGCCCGCGGCGGCTGGTGGATACCTT  1 200842429 GPR25 CGTGCTGCACCTGGCGGCAGCTGACCT GGGCTT[CG]TGCTCACGCTGCCGCTGT GGGCCGCGGCGGCGGCGCTAGGCGGC CGCTGGCCGTTCGGCG cg18984151 TCCCTTGGCCTCGCTCTCTGCCCAGCCC  3  47555476 C3orf75 CGGGCTCCTTTTCTCCACACGTGGCTGT CAAG[CG]CCTTCTGTATGCCCCACACT CCTGGGAGCTTGGGCTACATCGATGAA CAAAAACAAAGGA cg18180783 AGCCAGGATCTGCCTTTTAACCTCCAT 10  75402320 MYOZ1 TTGCTGTTGAGATGCTCAGTTCAACCT GCTGTG[CG]GGATAGACATCGATGTCT CCCTGAGAAGCACATATAGGCTCTCTG AGGTTTCTTTTCTTC cg16547529 CACTGGCTTGTTAACTCTTCAAGGGCA 11  75140681 KLHL35 GAATTATGGGCACCGAGCCTCTAAAAT GTTGAA[CG]AATGACTGAATATCATCA AGAGGCAGTACTAAAAGATGATGAAA GAATGAATGAGCGGTG cg22901840 GTGCAGGGAAAGCACACCGTGGCTGC  1  68512777 DIRAS3 AGCCCAGCAACTGGCAGTAGGTATTTT CAATGGT[CG]GCAGGTACTCATGACGG AAGTTGCCGCTCGCCCACTTGTGCAGC AGCGTACTTTTCCCCA cg02332492 CGGGGCAGCTGTCAGTGAAGCTCTACG  9 139840678 C8G GTATGTGGGGGCCAGCCTCTGTGACCA GGCAGG[CG]CTCAAGCTCTGCACACTC ACTGGGCCACCCCGAGGGGCTGGGTG AGCCCATGGGGACACA cg24262469 CTCTGCAAGCTCCATGAGGACAGGCGT  3 156391694 TIPARP; L GAAGTTCAGGCTACATGCCTGGTACGT OC100287 AATAGA[CG]CTCTGACAGACATTTGCT 227 GAATGAATAAGTTAGTCACTACGGCGT TTGTGGGCTTTAAAA cg15547534 CTCCTCCTCTTGAAAACTCTGCTATGGC  7 100034410 C7orf47 TGAGTTACCCAGAGGAATCTTAGTCCT GCTAG[CG]CTGCGATGCCCATTGCCCA GTGTGTCAGTCCTCATTCTGGGGCGCC AAATGGGGCAGCAT cg20828084 GACTCCATATGCCCTAGGGATGTGTTG 15  81070851 KIAA1199 TGATGAACTTTTCCTACTGGTACTGTTT CCTCC[CG]CGAGGGAATGTCTAGACCA GCCGCACCTTCTTGCTTTGACCCTTCAG AACTTTGGCCTGT cg02580606 AACCTAAATTTTGGGAGCACCTACTCT 17  39526726 KRT33B GCATGAAGCACTGTGCTCCATGCCTGT GCACAG[CG]TGACTCTGTCATTGGTGA TGGGTCCTGCTTGCTGAGCCTCCACTG TGCACCAGGCACAGT cg05675373 AAGGAGGAGATGGCCAAGGGCGAGGC  1 110754257 KCNC4 GTCGGAGAAGATCATCATCAACGTGGG CGGCACG[CG]ACATGAGACCTACCGCA GCACCCTGCGCACCCTACCGGGAACCC GCCTCGCCTGGCTGGC cg26453588 GGCTGCCCACCCGCCCACCCCGCCTGG 22  43506021 BIK AAGCTTTCTGATTTCTCTGTTCGCCCCG CCAGG[CG]CTGTGGGGTCCGTCTCACC AGGTCTGCACGTGAGCCCCCTGCCCCC AATCCCTCCCAGTC cg13682722 AGTGGTTGGGACCCTGTGAGAACCGGA 14  90798568 C14orf102 ACTGCGAAAACCGGAGAAGGGAATTG TTGACCG[CG]AAAGGGACTAAGGAAA TTGGGATTCCAGTTCGACCCCTAAATT CACACCATCCTTGCTAA cg01353448 GCCCAGCCTCGGTGAGCACACACGCCC  7  31726912 C7orf16 TCCCTGTCTCTCGCCTTCGCTTCCCTGC ATCTG[CG]CTGATTGGTAAGTGCTTCA GATTTTTACTCCAAGAACTTTTGTGGTG AGAAAAGCAAGTT cg24580001 TCTTCTGAAGGATTTGATGCTGGTGCTT 11  64106532 CCDC88B TTCAGGTGTGGGTCCTGACAGTGATGT TGGGA[CG]GCAGCTAGCCAGACAGCA ACTGTACCATGTAAACTCACTTCAGAG GTGTAGAATGGGGGC cg18440048 GTAGCCCTGTTCCTGTCTGCCCTCCCCG 22  24093826 ZNF70 CCCCCACAGAAATAGAGATGAGAAGG GGCAGG[CG]AAGAACTAGGAGTGTCT GCGAGACCATCCCAGGACCCTGAGCCC CCCAACTCTCTGCATC cg13460409 ATCTCTCACCTTGCTACTTTCTCGGTAG 21  38379570 DSCR6 CCGTTTCTGTTGTCCCTGGATTGGGGG CTCGG[CG]TTCGCTGTCCCTGGGCACC AACCCTTTTAAAGACAGTAACGTTGTA GGAAATCAAATTAG cg01968178 CTGCAGCGGCCCCGTTTGCAGGGCAGG  2  86565038 REEP1 GACCCGGGTGCTGCCCCACCCTCAGCG TTCCAG[CG]GAGAAACTGAAGTCCGAA CCTGAACCTCGGGAATCTGTCTGCACC TGTCTAGGTGGGATG cg13038560 GACCTCAAGTGATCCACCGACCTGGGC  2 200819113 C2orf60; C CTCCCAAAATGTTAGGATTACTGGCAT 2orf47 GAACCA[CG]GCGCCCAGCCCATCCGAC TTTTGTAACACTCAGAATTGTAGTTTTG TTTGTTTGTTTGAG cg23517605 CTCCAGTGCCGGCAGGTGGGAGGGCTG  6   3228365 TUBB2B AGGTGGCACAGGCTGCTCCGCCACCTC GGACTG[CG]GCTCCTACTCGGCCACTG GCCAGAGTCCCTCCAGCCAACTGCCCC TGGTGAGACCACCGT cg13975369 CCATTTGAGGGCAAGGGCTGTGTCTTT  7 130080553 TSGA14 GGGTACTTCGCTCCTCGCAGTCACAAG TACTGG[CG]TGCGTACGCGGGGAGAG ATCGCTCCTCAAAACGGGGTCCTGAAC GCTGCCCCGCGGCCCC cg19008809 GCGCGCGTGCCGCCGCCGCGGGCACTG  3  53080682 SFMBT1 CGCCCGTTTGCCTGCCCCTCGTCGGGG ATCGGG[CG]CTCCCTCTGAGACCTGAA AGGGCACCCAAGTGCCCCCTGTCTGCG AAGTCCGGCGCGGGC cg12830694 CCACTGGCCCGGTTCAACGAATATCTA 19  38747796 PPP1R14A TTAAGTATCCACTCTATACCAGACACT GCTTTA[CG]CTCCAGGGATAGAGCAGG GAACAAAACAGACAAAACCAGTCCCA CGCAGTTGACAGTTGT cg23662675 TGGCTGCCCCGGCAAATCGGAGTGTAA 20  45985596 ZMYND8 AGCCGCCCCGGATTGGCTGAAACACTT CCTGAG[CG]ATTATCTTTGTGAGGCTC GGGTGAGCAAGAGCCATCCTGTGCATA GAAAAAGACAGGCTA cg02331561 CAGCGGCGGTAGCCGAGCGAGGGCGC 16   2391081 ABCA17P; GGTGGCCTCTGACAGGAATGACTCTGC ABCA3 GCACGTG[CG]TTTCGCAGCAGTGGAAG TCTTCACACCCGGAAACTCGACTTTGG CCGTTTCTCCATTTCT cg10523019 CTCGCTGCTTCTCCCCTAGTCTTCGGGT  2 227700458 RHBDD1 CCCTTGAACGCAGGTCGCTTGTTTGCC TTACG[CG]TAGTCAGCGGCCAGTGGCT ATTTATGGCAGTAAGGAATATTATCCA CATTTCACATGGAG cg27377450 CTACACAAAGGCGCTCACACTTTATCC 19   7446301 GAAACAGCAGTGGGGCTTGGGTGCGG TGGCTCA[CG]CCTATAATCCCAGCACT TTGGGAGGCCGAGGAGGGTGGATCAT CTGAGGTCAGGAGTTCA cg06144905 CTGACCTCACCACCCACCAGGGAGGTG 17  27369780 PIPOX GGTCTTATTCTGGGCATCGTGCCAAGT TCTTAG[CG]GGGCCCTCTAGAATCTCT AAAGCAAATCAGGCTGAAGAGGGGAA AACCAGCAGGGGGAGG cg26845300 CGCAACACCCCAGGCGTGGGGCAAAG  6 158243833 SNX9 ACAGCGGGGTTGCGGGGCTCCTGTCTG CCCGGGG[CG]TCGAGAGTTCCTGCCGC CCCCTCCCGCCTCATGCACGGAAAGCG CCGAGCCACGGCGTGC cg25771195 GATAAGCGCCTAATATACATCCCTGCC 16  58163814 C16orf80 TGTCATTATTCACATTGTGGCATGCAG TCAAAG[CG]ACACTCTGAGGAAAATGT ATCGCCTTAAATACATTGATTAGAAAA TAAGAAAGCCCGAAC cg12946225 CCGGCGGGCGGCAAGGCTCCGGGCCA 19   3573751 HMG20B GCATGGGGGCTTCGTGGTGACTGTCAA GCAAGAG[CG]CGGCGAGGGTCCACGC GCGGGCGAGAAGGGGTCCCACGAGGA GGAGGTGAGAGTCCCTGC cg26005082 AGCTCTCCACCGACCGAAGGAGGAGA 19   4769660 MIR7- ATGCTATTTATTTCAGCACCAAATATC 3; C19orf30 CGGACAG[CG]CCTCTCGGGAGGTCCGA GAAGAGAACCGCGATCTGTTTCAGCAC CGGGGCTCAGGACAGT cg21378206 AAATAGGGGAGTCTACACCCTGTGGAG  2 113817043 IL1F5 CTCAAGATGGTCCTGAGTGGGGCGCTG TGCTTC[CG]GTGAGTGTATGAGGCCCT GGTTTGGTGGTGTCCTCCGGAGGAAGT GAGTTCTGGATAGAC cg10281002 TTGGGATGCGATAACTCAGTGCCCTCT 12 114846399 TBX5 TGCAGACTTGCATAGAAATAATTACTG GGTTGT[CG]TGGAGGGGACACGAGAC AGAGGGAGTTCTCCGTAATGTGCCTTG CGGAGAGAAAGGTCCA cg22920873 CGAAGATCCGGCCAATTTGCCCAGCGC  7 139025153 C7orf55 GCTGTGCTCCGCGACGGCGCATGCCCG CTTTTG[CG]CAGGCGCGGGGACTACGG CGCAGGCGCGGAGACTATTGCGCAGG CAAGCGCGTACGCAGA cg19945840 GCGCGCCCTGGAGCGGGAGCAGGCGC  1   1168036 SDF4; B3G GGCACGGGGACCTGCTGCTGCTGCCCG ALT6 CGCTGCG[CG]ACGCCTACGAAAACCTC ACGGCCAAGGTGCTGGCCATGCTGGCC TGGCTGGACGAGCACG cg04084157 AGGGTGCCTGCCTCTCCCGGCCTGCGC  7 100809049 VGF CTGCGCGCTGGGGCCTTCGGCTGAAGG GGTGTG[CG]CTAGCGGAGCTCCGGGAA ATGAATGAATGAATGAATGAATGAAAT GCTGAAGCGGGCAGG cg20692569 CGACCCGGAGCGCGGGCGCGGGGCTG  7  72848481 FZD9 CGCCGTGCCAGGCGGTGGAGATCCCCA TGTGCCG[CG]GCATCGGCTACAACCTG ACCCGCATGCCCAACCTGCTGGGCCAC ACGTCGCAGGGCGAGG cg26297688 ATAAGCCACGTCTCTCCTCACCCCTAG 12 107349093 C12orf23 CACTTAATCACAAAGGCCTGTAGAGAG TCCCGA[CG]AGAACTTCTGAGCAGGCC CCGCTGTCAGTCCCTGAGGACAGCATG CAAGGGAGGTTGACG cg04528819 GCAGCCCGGGAAGGGGCATTGGTGGC  7 130418315 KLF14 GCTTGGCAGCAGGTGTGACAGACCTCC TCCGGGG[CG]CCTGATCCGCGGCGGGG GCGGGGCCTGCCCCTAGGGCCCCTCCA GAGAACCCACCAGAGG cg06493994 GGAGAGCAAGTCAAGAAATACGGTGA  6  25652602 SCGN AGGAGTCCTTCCCAAAGTTGTCTAGGT CCTTCCG[CG]CCGGTGCCTGGTCTTCGT CGTCAACACCATGGACAGCTCCCGGGA ACCGACTCTGGGGCG cg25505610 GAGGCGCCAGCGGGAGGCAACATCAA 11  32605184 EIF3M TGCAGTTAGCTACACGGGCCTGAAAAC TGGAGGC[CG]CGACAAGCGTCGCTGA GTGGAGGCCCAGTAAGTCCCACCCACT AGGCCAGCCCGAGCGCG cg00864867 AGTACAAGACCGTATTATTTGAGAGAA 12  80085268 PAWR AGTCTCGAACGCTGCTGGCTAAGGGGA AAAGTG[CG]ATAACTTGTGATGATTCA GGGAATGACTAGACAGGATGGGAAAA TACCCACGTGTCTCTT cg02479575 GAGGGACAGCTCTCCACCGACCGAAG 19   4769653 MIR7- GAGGAGAATGCTATTTATTTCAGCACC 3; C19orf30 AAATATC[CG]GACAGCGCCTCTCGGGA GGTCCGAGAAGAGAACCGCGATCTGTT TCAGCACCGGGGCTCA cg22736354 TGCGCCAGGGCGGCCACGCAGGCCAG  6  18122719 NHLRC1 GCAGACCACGTGGCCGCAGGACAGGT TGCGCGGG[CG]CCGCTGCTGCCGGTGG CCAAACTTCTCAAAGCACACCTTGCAC TCGAGCAGGCTGATCTC cg14424579 TAAGCGATAAGGAGTTTCACACGATGT  2  27274309 AGBL5 CTTTTTATTTCGCAGTTGAGTCCCAGTT TCTGC[CG]CTTTATCTTTCCCGCCTCCC GGCAGGCAGGCCGTTAACCGTCTTCCG GAAGACGCTGCTA cg16241714 GGCACAGCTCCAGGGTGGGCACGGCG  8  48650511 CEBPD GCCATGGAGTCGATGTAGGCGCTGAAG TCGATGG[CG]CTCTCGTCGTCGTACAT GGCGGGGGCGGCGGCGCCTGGCTCGC CTAGGGCCCCTGGCTCG

TABLE 5 Listing of 38 CpGs Subset Sequence with the CpG Chromo- Probe site marked with [ ] some Position Gene cg00431549 TAACTGCTGGACCTGACTGTGTTACAC 12  15039025 MGP AGGATGCTGCTCTGGTGCAGAAGTTTT GGCCAT[CG]TATGCTTGGGGACAGACC TGGGCAAAAGCCCACAGAGGAAGTTG CCACAAACACATGATC cg00864867 AGTACAAGACCGTATTATTTGAGAGAA 12  80085268 PAWR AGTCTCGAACGCTGCTGGCTAAGGGGA AAAGTG[CG]ATAACTTGTGATGATTCA GGGAATGACTAGACAGGATGGGAAAA TACCCACGTGTCTCTT cg01353448 GCCCAGCCTCGGTGAGCACACACGCCC  7  31726912 C7orf16 TCCCTGTCTCTCGCCTTCGCTTCCCTGC ATCTG[CG]CTGATTGGTAAGTGCTTCA GATTTTTACTCCAAGAACTTTTGTGGTG AGAAAAGCAAGTT cg01459453 GCAAGTTTAAAAGTACTCACAAAATCT  1 169599212 SELP AATAGGCAATTCAACATAAAACTCCAT GGCTAT[CG]CTGTTCCTCACTTTCTGAA CCTTTACCTGCCTGACTTTACTCCATAC CACTCCAACTCAC cg01511567 GTAGTTTTATTGTATCAGACTTAGTACA 11  57103631 SSRP1 GGGGTGGGGTGGGGGTGTGTATTGGAA TGATG[CG]TGCCCGTTTCTCTGCAAAA TAGTTTCTATGTCATGGAAAGGAGTCG ATGGGACAAGAAGA cg02275294 GTTTGAATGTTGCTGAAGGACGCTGGT  1 179262462 SOAT1 TTTCAAACGGTAAGGAATCTCCTGATA AAGGCA[CG]AATCTTGGTGTGCAGATA AGCCAGCGATTCTTGCTTCTGGCTAGT TCTACGTTGTTCCTG cg02479575 GAGGGACAGCTCTCCACCGACCGAAG 19   4769653 MIR7- GAGGAGAATGCTATTTATTTCAGCACC 3; C19orf30 AAATATC[CG]GACAGCGCCTCTCGGGA GGTCCGAGAAGAGAACCGCGATCTGTT TCAGCACCGGGGCTCA cg04084157 AGGGTGCCTGCCTCTCCCGGCCTGCGC  7 100809049 VGF CTGCGCGCTGGGGCCTTCGGCTGAAGG GGTGTG[CG]CTAGCGGAGCTCCGGGAA ATGAATGAATGAATGAATGAATGAAAT GCTGAAGCGGGCAGG cg04528819 GCAGCCCGGGAAGGGGCATTGGTGGC  7 130418315 KLF14 GCTTGGCAGCAGGTGTGACAGACCTCC TCCGGGG[CG]CCTGATCCGCGGCGGGG GCGGGGCCTGCCCCTAGGGCCCCTCCA GAGAACCCACCAGAGG cg05442902 GCCAGGTCACCCTCTCACTCTGTGCCT 22  21369010 MGC1670 CTTAGTTATCTTGCATGCTCTGGTCTTT 3; P2RX6 GCATA[CG]CTGCTCCCTGCACCAGGAA CCTCCATCCCCATCTTTGTCTGCTTGTC GAACTTCAGAAAT cg06117855 TGGGGAGGGTTTCCTGGACAGAGGTCC  3  45067788 CLEC3B TTTGGCTGCTGCCTTAAGACGTGCAGC CTGGGC[CG]TGGCTGTCACTGCGTTCG GACCCAGACCCGCTGCAGGCAGCAGC AGCCCCCGCCCGCGCA cg06493994 GGAGAGCAAGTCAAGAAATACGGTGA  6  25652602 SCGN AGGAGTCCTTCCCAAAGTTGTCTAGGT CCTTCCG[CG]CCGGTGCCTGGTCTTCGT CGTCAACACCATGGACAGCTCCCGGGA ACCGACTCTGGGGCG cg07158339 TACAGGGCTTAACTCATTTTATCCTTAC  9  71650237 FXN CACAATCCTATGAAGTAGGAACTTTTA TAAAA[CG]CATTTTATAAACAAGGCAC AGAGAGGTTAATTAACTTGCCCTCTGG TCACACAGCTAGGA cg07388493 GGGAGCCAGTGTTCTTTCTCTCCTGTG  1  39491459 NDUFS5 ACTTTGGTGAAGTCTCTCACCACTCAG TGTTGT[CG]TGAGCATGCTAGGCAGAG TGCAAGAAAGGAGCAAGAACTCACTA ATGGCTAGGCCTTCCC cg08331960 TCGGGGTCCCTTGGCCTGGAGACCCTT 16   2076597 SLC9A3R2 TGTCCAACCCGTCGCCCACCTCAAGAC CTGCCT[CG]ATGCTGCGCATACAGTAG GTATCCAATAAATGTTCCTGGGATAGA AGGCAAAGGCGCTGG cg10281002 TTGGGATGCGATAACTCAGTGCCCTCT 12 114846399 TBX5 TGCAGACTTGCATAGAAATAATTACTG GGTTGT[CG]TGGAGGGGACACGAGAC AGAGGGAGTTCTCCGTAATGTGCCTTG CGGAGAGAAAGGTCCA cg10523019 CTCGCTGCTTCTCCCCTAGTCTTCGGGT  2 227700458 RHBDD1 CCCTTGAACGCAGGTCGCTTGTTTGCC TTACG[CG]TAGTCAGCGGCCAGTGGCT ATTTATGGCAGTAAGGAATATTATCCA CATTTCACATGGAG cg13547237 GCAGTGCATCGAGCTGGAGCAGCAGTT 11  65687877 C11orf68; TGACTTCTTGAAGGACCTGGTGGCATC DRAP1 TGTTCC[CG]ACATGCAGGGGGACGGGG AAGACAACCACATGGATGGGGACAAG GGCGCCCGCAGGTGGG cg14424579 TAAGCGATAAGGAGTTTCACACGATGT  2  27274309 AGBL5 CTTTTTATTTCGCAGTTGAGTCCCAGTT TCTGC[CG]CTTTATCTTTCCCGCCTCCC GGCAGGCAGGCCGTTAACCGTCTTCCG GAAGACGCTGCTA cg16744741 CAGCTGGATGCACTTGTTCTGGAGCTC  4  82126025 PRKG2 CTCTGTGAGTTCAGCAATGGCCACAGT CTGCTT[CG]ACAGCTGCTCCCGCAGCT CCTTCAAATGGTACTCCCGCTCCTGGA TCTCAGCATCCTTCC cg17324128 CCCTCCCCCGCCAGCCTGGCGCATTGC 10  45455500 RASSF4 GGGCCTCGGGCTCATTGCTGAGAGGGG GCACTG[CG]CCTGGCACCTCTGTTAAG CAATTTAGGGGCTACAACCTGAGCAAG ACAGATGAGCCCGGC cg19722847 TCTGCTTACAGCTGCTTCCAAATTAAG 12  30849114 IPO8 CATATCTGGATGGTGTGACACTTTTTGT TAGTC[CG]AGAACTGTATGGGCATCGC AACTGGGCCTGTTCCAAGATAGACTTG TTGGGACCTTCAAA cg19724470 CATTCTTATGCGACTGTGTGTTCAGAA  9   5450936 CD274 TATAGCTCTGATGCTAGGCTGGAGGTC TGGACA[CG]GGTCCAAGTCCACCGCCA GCTGCTTGCTAGTAACATGACTTGTGT AAGTTATCCCAGCTG cg19761273 GGACAAAGCCACCACCTTTCACAAAAT 17  80232096 CSNK1D GAGGCCAGACCACCTGCCTCCCTCCAG TCCCTG[CG]GCCTGGAGACGGAGTCAA CATTCTTATCTGTGTTGGATCTGAATGT TCCTCCTTGCAAAG cg19945840 GCGCGCCCTGGAGCGGGAGCAGGCGC  1   1168036 SDF4; B3G GGCACGGGGACCTGCTGCTGCTGCCCG ALT6 CGCTGCG[CG]ACGCCTACGAAAACCTC ACGGCCAAGGTGCTGGCCATGCTGGCC TGGCTGGACGAGCACG cg20692569 CGACCCGGAGCGCGGGCGCGGGGCTG  7  72848481 FZD9 CGCCGTGCCAGGCGGTGGAGATCCCCA TGTGCCG[CG]GCATCGGCTACAACCTG ACCCGCATGCCCAACCTGCTGGGCCAC ACGTCGCAGGGCGAGG cg21801378 CCACGAAGAGCTTGATGGCGTCGTGGT 15  72612125 BRUNOL6 CCTTCATGGGTACGGCGGGACCGGGGT TTAGCC[CG]CTCATGCCGACGCCGCTG TCCGCGGTGCTGAAACCCAGGCGCGGG CCGGGGCCAGCGGGC cg22736354 TGCGCCAGGGCGGCCACGCAGGCCAG  6  18122719 NHLRC1 GCAGACCACGTGGCCGCAGGACAGGT TGCGCGGG[CG]CCGCTGCTGCCGGTGG CCAAACTTCTCAAAGCACACCTTGCAC TCGAGCAGGCTGATCTC cg22947000 TAGCTATGACACATGGCTTGGAAATTA 16  81272281 BCMO1 ACCTTTAACCAAACATCTTATAAGTAA CGCCAG[CG]CAGCTTCCCTTGTGAATG TAAAGAGATCCAGGGCTCTTGGAGAG GGACAAGTGAGAGCCA cg23517605 CTCCAGTGCCGGCAGGTGGGAGGGCTG  6   3228365 TUBB2B AGGTGGCACAGGCTGCTCCGCCACCTC GGACTG[CG]GCTCCTACTCGGCCACTG GCCAGAGTCCCTCCAGCCAACTGCCCC TGGTGAGACCACCGT cg24899750 GGAGGAACTGGCTATCCTAAAGGTGAT 20  16710314 SNRPB2 TTTAAACCGGGGTAGCTAGAGCCCAAA GAAGGG[CG]AAACCAGGACTAACTGC CCCATAGCATGAGGGGCAGCGCCTGTA AAATTACATAGGATTT cg25771195 GATAAGCGCCTAATATACATCCCTGCC 16  58163814 C16orf80 TGTCATTATTCACATTGTGGCATGCAG TCAAAG[CG]ACACTCTGAGGAAAATGT ATCGCCTTAAATACATTGATTAGAAAA TAAGAAAGCCCGAAC cg25809905 ACTTGATTCTGGTTGGGGGCTTTGCCT 17  42467728 ITGA2B AGGGGAGCCTTCCCTGACTCCTCAGGC TGGCCG[CG]TGGGCTAACACACGTAGG CACAGCATTGAGCACACTGTTTACTCT TGGTCCGTTCACAGG cg26005082 AGCTCTCCACCGACCGAAGGAGGAGA 19   4769660 MIR7- ATGCTATTTATTTCAGCACCAAATATC 3; C19orf30 CGGACAG[CG]CCTCTCGGGAGGTCCGA GAAGAGAACCGCGATCTGTTTCAGCAC CGGGGCTCAGGACAGT cg26394940 TAAATAAATAAGGGCTTTTGTTTGTTTG 22  46449461 C22orf26; L CCGGCTCCTGCACATGGCTGCTGGGAC OC150381 TCAAG[CG]CTCGTGTTGTCTGCGCCTCT GTGGGACTCTGGGGACGGGAGGCAGG GGAGGCCCCCGCAG cg26453588 GGCTGCCCACCCGCCCACCCCGCCTGG 22  43506021 BIK AAGCTTTCTGATTTCTCTGTTCGCCCCG CCAGG[CG]CTGTGGGGTCCGTCTCACC AGGTCTGCACGTGAGCCCCCTGCCCCC AATCCCTCCCAGTC cg26614073 CTTGGGCAACGTAGGAGACCTCCGTCT  3  47517819 SCAP CCACAAGTAAAATTAATTAGCCGGCTG TGGTGG[CG]CGCACCTGTGGTCCCAGC TACTCAGGAGGCTGAGGTAGGAGGAT CACCTGAGCCCGGGAG cg27015931 TGTTTTTGTGGGAGGCCTTCTGCATGGT 16  22012404 C16orf65 CCCGGGAGGTCAGGCAGCCCGGGAGG GCCTCC[CG]GAGCAGAGGCTGGAGTCA GTCCCAATGCCAACAGTTTCGAACCTT GCCCGCGGGCACTGC

TABLE 6 Listing of 17 CpGs Subset Sequence with the CpG Chromo- Probe site marked with [ ] some Position Gene cg00431549 TAACTGCTGGACCTGACTGTGTTACAC 12  15039025 MGP AGGATGCTGCTCTGGTGCAGAAGTTTT GGCCAT[CG]TATGCTTGGGGACAGACC TGGGCAAAAGCCCACAGAGGAAGTTG CCACAAACACATGATC cg01459453 GCAAGTTTAAAAGTACTCACAAAATCT  1 169599212 SELP AATAGGCAATTCAACATAAAACTCCAT GGCTAT[CG]CTGTTCCTCACTTTCTGAA CCTTTACCTGCCTGACTTTACTCCATAC CACTCCAACTCAC cg01511567 GTAGTTTTATTGTATCAGACTTAGTACA 11  57103631 SSRP1 GGGGTGGGGTGGGGGTGTGTATTGGAA TGATG[CG]TGCCCGTTTCTCTGCAAAA TAGTTTCTATGTCATGGAAAGGAGTCG ATGGGACAAGAAGA cg02275294 GTTTGAATGTTGCTGAAGGACGCTGGT  1 179262462 SOAT1 TTTCAAACGGTAAGGAATCTCCTGATA AAGGCA[CG]AATCTTGGTGTGCAGATA AGCCAGCGATTCTTGCTTCTGGCTAGT TCTACGTTGTTCCTG cg04528819 GCAGCCCGGGAAGGGGCATTGGTGGC  7 130418315 KLF14 GCTTGGCAGCAGGTGTGACAGACCTCC TCCGGGG[CG]CCTGATCCGCGGCGGGG GCGGGGCCTGCCCCTAGGGCCCCTCCA GAGAACCCACCAGAGG cg06117855 TGGGGAGGGTTTCCTGGACAGAGGTCC  3  45067788 CLEC3B TTTGGCTGCTGCCTTAAGACGTGCAGC CTGGGC[CG]TGGCTGTCACTGCGTTCG GACCCAGACCCGCTGCAGGCAGCAGC AGCCCCCGCCCGCGCA cg06493994 GGAGAGCAAGTCAAGAAATACGGTGA  6  25652602 SCGN AGGAGTCCTTCCCAAAGTTGTCTAGGT CCTTCCG[CG]CCGGTGCCTGGTCTTCGT CGTCAACACCATGGACAGCTCCCGGGA ACCGACTCTGGGGCG cg07158339 TACAGGGCTTAACTCATTTTATCCTTAC  9  71650237 FXN CACAATCCTATGAAGTAGGAACTTTTA TAAAA[CG]CATTTTATAAACAAGGCAC AGAGAGGTTAATTAACTTGCCCTCTGG TCACACAGCTAGGA cg07388493 GGGAGCCAGTGTTCTTTCTCTCCTGTG  1  39491459 NDUFS5 ACTTTGGTGAAGTCTCTCACCACTCAG TGTTGT[CG]TGAGCATGCTAGGCAGAG TGCAAGAAAGGAGCAAGAACTCACTA ATGGCTAGGCCTTCCC cg10523019 CTCGCTGCTTCTCCCCTAGTCTTCGGGT  2 227700458 RHBDD1 CCCTTGAACGCAGGTCGCTTGTTTGCC TTACG[CG]TAGTCAGCGGCCAGTGGCT ATTTATGGCAGTAAGGAATATTATCCA CATTTCACATGGAG cg17324128 CCCTCCCCCGCCAGCCTGGCGCATTGC 10  45455500 RASSF4 GGGCCTCGGGCTCATTGCTGAGAGGGG GCACTG[CG]CCTGGCACCTCTGTTAAG CAATTTAGGGGCTACAACCTGAGCAAG ACAGATGAGCCCGGC cg19722847 TCTGCTTACAGCTGCTTCCAAATTAAG 12  30849114 IPO8 CATATCTGGATGGTGTGACACTTTTTGT TAGTC[CG]AGAACTGTATGGGCATCGC AACTGGGCCTGTTCCAAGATAGACTTG TTGGGACCTTCAAA cg22736354 TGCGCCAGGGCGGCCACGCAGGCCAG  6  18122719 NHLRC1 GCAGACCACGTGGCCGCAGGACAGGT TGCGCGGG[CG]CCGCTGCTGCCGGTGG CCAAACTTCTCAAAGCACACCTTGCAC TCGAGCAGGCTGATCTC cg25809905 ACTTGATTCTGGTTGGGGGCTTTGCCT 17  42467728 ITGA2B AGGGGAGCCTTCCCTGACTCCTCAGGC TGGCCG[CG]TGGGCTAACACACGTAGG CACAGCATTGAGCACACTGTTTACTCT TGGTCCGTTCACAGG cg26394940 TAAATAAATAAGGGCTTTTGTTTGTTTG 22  46449461 C22orf26; L CCGGCTCCTGCACATGGCTGCTGGGAC OC150381 TCAAG[CG]CTCGTGTTGTCTGCGCCTCT GTGGGACTCTGGGGACGGGAGGCAGG GGAGGCCCCCGCAG cg26614073 CTTGGGCAACGTAGGAGACCTCCGTCT  3  47517819 SCAP CCACAAGTAAAATTAATTAGCCGGCTG TGGTGG[CG]CGCACCTGTGGTCCCAGC TACTCAGGAGGCTGAGGTAGGAGGAT CACCTGAGCCCGGGAG cg27015931 TGTTTTTGTGGGAGGCCTTCTGCATGGT 16  22012404 C16orf65 CCCGGGAGGTCAGGCAGCCCGGGAGG GCCTCC[CG]GAGCAGAGGCTGGAGTCA GTCCCAATGCCAACAGTTTCGAACCTT GCCCGCGGGCACTGC

TABLE 7 Listing of 6 CpGs Subset Sequence with the CpG Chromo- Probe site marked with [ ] some Position Gene cg01511567 GTAGTTTTATTGTATCAGACTTAGTACA 11 57103631 SSRP1 GGGGTGGGGTGGGGGTGTGTATTGGAA TGATG[CG]TGCCCGTTTCTCTGCAAAA TAGTTTCTATGTCATGGAAAGGAGTCG ATGGGACAAGAAGA cg07388493 GGGAGCCAGTGTTCTTTCTCTCCTGTG  1 39491459 NDUFS5 ACTTTGGTGAAGTCTCTCACCACTCAG TGTTGT[CG]TGAGCATGCTAGGCAGAG TGCAAGAAAGGAGCAAGAACTCACTA ATGGCTAGGCCTTCCC cg19722847 TCTGCTTACAGCTGCTTCCAAATTAAG 12 30849114 IPO8 CATATCTGGATGGTGTGACACTTTTTGT TAGTC[CG]AGAACTGTATGGGCATCGC AACTGGGCCTGTTCCAAGATAGACTTG TTGGGACCTTCAAA cg22736354 TGCGCCAGGGCGGCCACGCAGGCCAG  6 18122719 NHLRC1 GCAGACCACGTGGCCGCAGGACAGGT TGCGCGGG[CG]CCGCTGCTGCCGGTGG CCAAACTTCTCAAAGCACACCTTGCAC TCGAGCAGGCTGATCTC cg26394940 TAAATAAATAAGGGCTTTTGTTTGTTTG 22 46449461 C22orf26; L CCGGCTCCTGCACATGGCTGCTGGGAC OC150381 TCAAG[CG]CTCGTGTTGTCTGCGCCTCT GTGGGACTCTGGGGACGGGAGGCAGG GGAGGCCCCCGCAG cg26614073 CTTGGGCAACGTAGGAGACCTCCGTCT  3 47517819 SCAP CCACAAGTAAAATTAATTAGCCGGCTG TGGTGG[CG]CGCACCTGTGGTCCCAGC TACTCAGGAGGCTGAGGTAGGAGGAT CACCTGAGCCCGGGAG

Edaradd (NCBI Reference Sequence: NM_080738.3): (SEQ ID NO: 355) TTGTATGGGAACTCTGGTGAATGCGAATCATTTTTAAATTACTTTTTTTGTAAAGTGCAAAACAACAATAG CACCCATTTGCGTCATACTTTATAGTTCGCAAAGCACATGGGAAAAATAAAGGTAATGATGGGGATCGTTG CAATTCATAGGAAAGGAGGCACGAGGAAATGAAAATGAAAGGGAGTAATAACTACGTAACTAGTCAATCTT CCTTAAAAAAAAAAACCCTTAAAATATACCACCATCTTCTATTTGATATAATGCAGAATGGGAATGATAAA AACATGAATTACATTTCAGAGTTTCAAAAAGCAAACCAGCTTTATAGCAATGCTTGAGGTTGGGCTGCTAA CAAGCTCACTCAACTAGTGTTTCCTGACGGCCAACGTCAGAATAATTCCATCTCCATGAGAAGTACAGAAA GAACCACAAACCAAACCTCCAAATTGATTCTAAGATAAAATACCCTTAAAAAAAATTTCCCTTCCTATCCG GGCGGCAGACCAAGAGGAAGTTTATCCTCCCACCTACAAATTCCCCAGAGAGCTTTCATCTAGAAGGTTTG ACTCTGGCCAGACAACCAGCGAGCATCTTCTCGCAATCTGTTGCTTCTTCCATGGCAAACTCCAGAGAATT AAGAAGCCAAACTCAACATCGCCATGGGCCTCAGGACGACTAAACAGATGGGGAGAGGCACTGGCAGACCA AGAGGAAGTTTATCCTCCCACCTACAAATTCCCCAGAGAGCTTTCATCTAGAAGGTTTGACTCTGGCCAGA CAACCAGCGAGCATCTTCTCGCAATCTGTTGCTTCTTCCATGGCAAACTCCAGAGAATTAAGAAGCCAAAC TCAACATCGCCATGGGCCTCAGGACGACTAAACAGATGGGGAGAGGCACTAAAGCTCCTGGTCACCAAGAG GGTATGTAGGCATTTGCTGTCTTCCTGGATTTCTCAGAGCTGAGTTTTTAGCCAGAGGTTGCTTATTTACG ATAATTCTTGGATATATTATACACTAAATACTATTATTATCTTTTTCGACCCGACTTTTATCTTTCTGTTC TTATGTGTGAAGGCAGAGAAAGATTATTTAGAGCTCTTCAAAGATTCCTATTTAATTTAAAATGCCTGTCG CCTTCCTATAATAGGCTTATGATGGATGATAGCTTTAGTTAAAATGTAGCAATCTTAAATATATT GREM1 NCBI REFERENCE SEQUENCE: XM_006725542.1 (SEQ ID NO: 356) ATTTAAACGGGAGACGGCGCGATGCCTGGCACTCGGTGCGCCTTCCGCGGACCGGGCGAC CCAGTGCACGGCCGCCGCGTCACTCTCGGTCCCGCTGACCCCGCGCCGAGCCCCGGCGGC TCTGGCCGCGGCCGCACTCAGCGCCACGCGTCGAAAGCGCAGGCCCCGAGGACCCGCCGC ACTGACAGTATGAGCCGCACAGCCTACACGGTGGGAGCCCTGCTTCTCCTCTTGGGGACC CTGCTGCCGGCTGCTGAAGGGAAAAAGAAAGGGTCCCAAGGTGCCATCCCCCCGCCAGAC AAGGCCCAGCACAATGACTCAGAGCAGACTCAGTCGCCCCAGCAGCCTGGCTCCAGGAAC CGGGGGCGGGGCCAAGGGCGGGGCACTGCCATGCCCGGGGAGGAGGTGCTGGAGTCCAGC CAAGAGGCCCTGCATGTGACGGAGCGCAAATACCTGAAGCGAGACTGGTGCAAAACCCAG CCGCTTAAGCAGACCATCCACGAGGAAGGCTGCAACAGTCGCACCATCATCAACCGCTTC TGTTACGGCCAGTGCAACTCTTTCTACATCCCCAGGCACATCCGGAAGGAGGAAGGTTCC TTTCAGTCCTGCTCCTTCTGCAAGCCCAAGAAATTCACTACCATGATGGTCACACTCAAC TGCCCTGAACTACAGCCACCTACCAAGAAGAAGAGAGTCACACGTGTGAAGCAGTGTCGT TGCATATCCATCGATTTGGATTAAGCCAAATCCAGGTGCACCCAGCATGTCCTAGGAATG CAGCCCCAGGAAGTCCCAGACCTAAAACAACCAGATTCTTACTTGGCTTAAACCTAGAGG CCAGAAGAACCCCCAGCTGCCTCCTGGCAGGAGCCTGCTTGTGCGTAGTTCGTGTGCATG AGTGTGGATGGGTGCCTGTGGGTGTTTTTAGACACCAGAGAAAACACAGTCTCTGCTAGA GAGCACTCCCTATTTTGTAAACATATCTGCTTTAATGGGGATGTACCAGAAACCCACCTC ACCCCGGCTCACATCTAAAGGGGCGGGGCCGTGGTCTGGTTCTGACTTTGTGTTTTTGTG CCCTCCTGGGGACCAGAATCTCCTTTCGGAATGAATGTTCATGGAAGAGGCTCCTCTGAG GGCAAGAGACCTGTTTTAGTGCTGCATTCGACATGGAAAAGTCCTTTTAACCTGTGCTTG CATCCTCCTTTCCTCCTCCTCCTCACAATCCATCTCTTCTTAAGTTGATAGTGACTATGT CAGTCTAATCTCTTGTTTGCCAAGGTTCCTAAATTAATTCACTTAACCATGATGCAAATG TTTTTCATTTTGTGAAGACCCTCCAGACTCTGGGAGAGGCTGGTGTGGGCAAGGACAAGC AGGATAGTGGAGTGAGAAAGGGAGGGTGGAGGGTGAGGCCAAATCAGGTCCAGCAAAAGT CAGTAGGGACATTGCAGAAGCTTGAAAGGCCAATACCAGAACACAGGCTGATGCTTCTGA GAAAGTCTTTTCCTAGTATTTAACAGAACCCAAGTGAACAGAGGAGAAATGAGATTGCCA GAAAGTGATTAACTTTGGCCGTTGCAATCTGCTCAAACCTAACACCAAACTGAAAACATA AATACTGACCACTCCTATGTTCGGACCCAAGCAAGTTAGCTAAACCAAACCAACTCCTCT GCTTTGTCCCTCAGGTGGAAAAGAGAGGTAGTTTAGAACTCTCTGCATAGGGGTGGGAAT TAATCAAAAACCGCAGAGGCTGAAATTCCTAATACCTTTCCTTTATCGTGGTTATAGTCA GCTCATTTCCATTCCACTATTTCCCATAATGCTTCTGAGAGCCACTAACTTGATTGATAA AGATCCTGCCTCTGCTGAGTGTACCTGACAGTAGTCTAAGATGAGAGAGTTTAGGGACTA CTCTGTTTTAGCAAGAGATATTTTGGGGGTCTTTTTGTTTTAACTATTGTCAGGAGATTG GGCTAAAGAGAAGACGACGAGAGTAAGGAAATAAAGGGAATTGCCTCTGGCTAGAGAGTA GTTAGGTGTTAATACCTGGTAGAGATGTAAGGGATATGACCTCCCTTTCTTTATGTGCTC ACTGAGGATCTGAGGGGACCCTGTTAGGAGAGCATAGCATCATGATGTATTAGCTGTTCA TCTGCTACTGGTTGGATGGACATAACTATTGTAACTATTCAGTATTTACTGGTAGGCACT GTCCTCTGATTAAACTTGGCCTACTGGCAATGGCTACTTAGGATTGATCTAAGGGCCAAA GTGCAGGGTGGGTGAACTTTATTGTACTTTGGATTTGGTTAACCTGTTTTCTTCAAGCCT GAGGTTTTATATACAAACTCCCTGAATACTCTTTTTGCCTTGTATCTTCTCAGCCTCCTA GCCAAGTCCTATGTAATATGGAAAACAAACACTGCAGACTTGAGATTCAGTTGCCGATCA AGGCTCTGGCATTCAGAGAACCCTTGCAACTCGAGAAGCTGTTTTTATTTCGTTTTTGTT TTGATCCAGTGCTCTCCCATCTAACAACTAAACAGGAGCCATTTCAAGGCGGGAGATATT TTAAACACCCAAAATGTTGGGTCTGATTTTCAAACTTTTAAACTCACTACTGATGATTCT CACGCTAGGCGAATTTGTCCAAACACATAGTGTGTGTGTTTTGTATACACTGTATGACCC CACCCCAAATCTTTGTATTGTCCACATTCTCCAACAATAAAGCACAGAGTGGATTTAATT AAGCACACAAATGCTAAGGCAGAATTTTGAGGGTGGGAGAGAAGAAAAGGGAAAGAAGCT GAAAATGTAAAACCACACCAGGGAGGAAAAATGACATTCAGAACCAGCAAACACTGAATT TCTCTTGTTGTTTTAACTCTGCCACAAGAATGCAATTTCGTTAACGGAGATGACTTAAGT TGGCAGCAGTAATCTTCTTTTAGGAGCTTGTACCACAGTCTTGCACATAAGTGCAGATTT GGCTCAAGTAAAGAGAATTTCCTCAACACTAACTTCACTGGGATAATCAGCAGCGTAACT ACCCTAAAAGCATATCACTAGCCAAAGAGGGAAATATCTGTTCTTCTTACTGTGCCTATA TTAAGACTAGTACAAATGTGGTGTGTCTTCCAACTTTCATTGAAAATGCCATATCTATAC CATATTTTATTCGAGTCACTGATGATGTAATGATATATTTTTTCATTATTATAGTAGAAT ATTTTTATGGCAAGATATTTGTGGTCTTGATCATACCTATTAAAATAATGCCAAACACCA AATATGAATTTTATGATGTACACTTTGTGCTTGGCATTAAAAGAAAAAAACACACATCCT GGAAGTCTGTAAGTTGTTTTTTGTTACTGTAGGTCTTCAAAGTTAAGAGTGTAAGTGAAA AATCTGGAGGAGAGGATAATTTCCACTGTGTGGAATGTGAATAGTTAAATGAAAAGTTAT GGTTATTTAATGTAATTATTACTTCAAATCCTTTGGTCACTGTGATTTCAAGCATGTTTT CTTTTTCTCCTTTATATGACTTTCTCTGAGTTGGGCAAAGAAGAAGCTGACACACCGTAT GTTGTTAGAGTCTTTTATCTGGTCAGGGGAAACAAAATCTTGACCCAGCTGAACATGTCT TCCTGAGTCAGTGCCTGAATCTTTATTTTTTAAATTGAATGTTCCTTAAAGGTTAACATT TCTAAAGCAATATTAAGAAAGACTTTAAATGTTATTTTGGAAGACTTACGATGCATGTAT ACAAACGAATAGCAGATAATGATGACTAGTTCACACATAAAGTCCTTTTAAGGAGAAAAT CTAAAATGAAAAGTGGATAAACAGAACATTTATAAGTGATCAGTTAATGCCTAAGAGTGA AAGTAGTTCTATTGACATTCCTCAAGATATTTAATATCAACTGCATTATGTATTATGTCT GCTTAAATCATTTAAAAACGGCAAAGAATTATATAGACTATGAGGTACCTTGCTGTGTAG GAGGATGAAAGGGGAGTTGATAGTCTCATAAAACTAATTTGGCTTCAAGTTTCATGAATC TGTAACTAGAATTTAATTTTCACCCCAATAATGTTCTATATAGCCTTTGCTAAAGAGCAA CTAATAAATTAAACCTATTCTTTC NHLRC NCBI Reference Sequence: NM_198586.2 (SEQ ID NO: 357) GCACAGGACGCGCCATGGCGGCCGAAGCCTCGGAGAGCGGGCCAGCGCTGCATGAGCTCA TGCGCGAGGCGGAGATCAGCCTGCTCGAGTGCAAGGTGTGCTTTGAGAAGTTTGGCCACC GGCAGCAGCGGCGCCCGCGCAACCTGTCCTGCGGCCACGTGGTCTGCCTGGCCTGCGTGG CCGCCCTGGCGCACCCGCGCACTCTGGCCCTCGAGTGCCCATTCTGCAGGCGAGCTTGCC GGGGCTGCGACACCAGCGACTGCCTGCCGGTGCTGCACCTCATAGAGCTCCTGGGCTCAG CGCTTCGCCAGTCCCCGGCCGCCCATCGCGCCGCCCCCAGCGCCCCCGGAGCCCTCACCT GCCACCACACCTTCGGCGGCTGGGGGACCCTGGTCAACCCCACCGGACTGGCGCTTTGTC CCAAGACGGGGCGTGTCGTGGTGGTGCACGACGGCAGGAGGCGTGTCAAGATTTTTGACT CAGGGGGAGGATGCGCGCATCAGTTTGGAGAGAAGGGGGACGCTGCCCAAGACATTAGGT ACCCTGTGGATGTCACCATCACCAACGACTGCCATGTGGTTGTCACTGACGCCGGCGATC GCTCCATCAAAGTGTTTGATTTTTTTGGCCAGATCAAGCTTGTCATTGGAGGCCAATTCT CCTTACCTTGGGGTGTGGAGACCACCCCTCAGAATGGGATTGTGGTAACTGATGCGGAGG CAGGGTCCCTGCACCTCCTGGACGTCGACTTCGCGGAAGGGGTCCTTCGGAGAACTGAAA GGTTGCAAGCTCATCTGTGCAATCCCCGAGGGGTGGCAGTGTCTTGGCTCACCGGGGCCA TTGCGGTCCTGGAGCACCCCCTGGCCCTGGGGACTGGGGTTTGCAGCACCAGGGTGAAAG TGTTTAGCTCAAGTATGCAGCTTGTCGGCCAAGTGGATACCTTTGGGCTGAGCCTCTACT TTCCCTCCAAAATAACTGCCTCCGCTGTGACCTTTGATCACCAGGGAAATGTGATTGTTG CAGATACATCTGGTCCAGCTATCCTTTGCTTAGGAAAACCTGAGGAGTTTCCAGTACCGA AGCCCATGGTCACTCATGGTCTTTCGCATCCTGTGGCTCTTACCTTCACCAAGGAGAATT CTCTTCTTGTGCTGGACACAGCATCTCATTCTATAAAAGTCTATAAAGTTGACTGGGGGT GATGGGCTGGGGTGGGTCCCTGGAATCAGAAGCACTAGTGCTGCCATTAATGAATTGTTT AACCCTGGATAAGTCACTTAAACTCATCTATCCAGGCAGGGATAATTAAAACCATCTGGC AGACTTACAAAGCTTGGGACAGTTATTGGAGATTAATCTACCATTTATTGAATGCATACT CTGTGCAAGGAAATTTGCAAATATTAGCTTATTTAATCTGTACTATCCAGTGAGGTAATT TCTTCCCCCCCAAGATAGAGTCAAGCTCTGTCACCCAGGCTGGAGTGCAGAAGCATGATC ACAGCTCACTACAGTTTCAACGTCCCCCGCTCAGGTGGTCCTTCCACCTCAGCCTCCCAA GTAGCTGGGACCACAAGTGTGCATTACCACACTCAGCTAATTTTTGTATTTTGGCAGAGA TGGGGTTTCACCATGTTGCCCAGGCTGGTCTCAAACTCCTGAGTTCAAGCAATCCACCTT CCTCGGCCTCCCAAAGTACTAGGAGTACAGGCATAGCCACTTGCTCAGCCATAATTTTTA TTATTAATCTCATTGTACAAGTGAGAAAACTGAGACCCAGAGAGCTTAAGTGACTTCCTC GAGGTCATAGTTACTTACTGCCTTAGTCCCAATTTGAATTCAATTCTGATTCCAAATAAG TTGCGCTTAAATAAGACAACAGATGTGGGAAAAATATGTGAATGTGTAGTGTTGCTATGT GTACTGTCTTTACAAGTAGCTAATTATTTTAGCACAAAGATGTGCAAAGAAAGGAGACTT TATGGAGAGTTCAGGAGAAAAAGGATTTTGTGGTGGCCATCACTTTCATTCAATTTGCGA CTGCTCTGATGGCACATTAGATGAAGTTACTGTTGATCCTGAGTTACGTGAATAAGAAAA ACAATTGAACTGCTTATTAAAAAAGTAAACATGT SCGN NCBI Reference Sequence: NM_006998.3 (SEQ ID NO: 358) CAGCCGCTGGTTTTGCTGAGGGCTGAGGGACGGCTCAGCGACGCCACGGCCAGCAGCGCT CGCGTCCTCCCCAGCAACAGTTACTCAAAGCTAATCAGATAGCGAAAGAAGCAGGAGAGC AAGTCAAGAAATACGGTGAAGGAGTCCTTCCCAAAGTTGTCTAGGTCCTTCCGCGCCGGT GCCTGGTCTTCGTCGTCAACACCATGGACAGCTCCCGGGAACCGACTCTGGGGCGCTTGG ACGCCGCTGGCTTCTGGCAGGTCTGGCAGCGCTTTGATGCGGATGAAAAAGGTTACATAG AAGAGAAGGAACTCGATGCTTTCTTTCTCCACATGTTGATGAAACTGGGTACTGATGACA CGGTCATGAAAGCAAATTTGCACAAGGTGAAACAGCAGTTTATGACTACCCAAGATGCCT CTAAAGATGGTCGCATTCGGATGAAAGAGCTTGCTGGTATGTTCTTATCTGAGGATGAAA ACTTTCTTCTGCTCTTTCGCCGGGAAAACCCACTGGACAGCAGCGTGGAGTTTATGCAGA TTTGGCGCAAATATGACGCTGACAGCAGTGGCTTTATATCAGCTGCTGAGCTCCGCAACT TCCTCCGAGACCTCTTTCTTCACCACAAAAAGGCCATTTCTGAGGCTAAACTGGAAGAAT ACACTGGCACCATGATGAAGATTTTTGACAGAAATAAAGATGGTCGGTTGGATCTAAATG ACTTAGCAAGGATTCTGGCTCTTCAGGAAAACTTCCTTCTCCAATTTAAAATGGATGCTT GTTCTACTGAAGAAAGGAAAAGGGACTTTGAGAAAATCTTTGCCTACTATGATGTTAGTA AAACAGGAGCCCTGGAAGGCCCAGAAGTGGATGGGTTTGTCAAAGACATGATGGAGCTTG TCCAGCCCAGCATCAGCGGGGTGGACCTTGATAAGTTCCGCGAGATTCTCCTGCGTCACT GCGACGTGAACAAGGATGGAAAAATTCAGAAGTCTGAGCTGGCTTTGTGTCTTGGGCTGA AAATCAACCCATAATCCCAGACTGCTTTGCCTTTTGCTCTTACTATGTTTCTGTGATCTT GCTGGTAGAATTGTATCTGTGCATTGATGTTGGGAACACAGTGGGCAAACTCACAAATGG TGTGCTATTCTTGGGCAAGAACAGGGACGCTAGGGCCTTCCTTCCACCGGCGTGATCTAT CCCTGTCTCACTGAAAGCCCCTGTGTAGTGTCTGTGTTGTTTTCCCTTGACCCTGGGCTT TCCTATCCTCCCAAAGACTCAGCTCCCCTGTTAGATGGCTCTGCCTGTCCTTCCCCAGTC ACCAGGGTGGGGGGGACAGGGGCAGCTGAGTGCATTCATTTTGTGCTTTTCTTGTGGGCT TTCTGCTTAGTCTGAAAGGTGTGTGGCATTCATGGCAATCCTGTAACTTCAACATAGATT TTTTTGTGTGTGTGGAAATAAATCTGCAATTGGAAACAAAAAAAAAAAAAAA 

1. A method for determining the age of a biological sample comprising: measuring a methylation level of a set of methylation markers in genomic DNA of the biological sample; and determining an age of the biological sample with a statistical prediction algorithm, comprising (a) obtaining a linear combination of the methylation marker levels, and (b) applying a transformation to the linear combination to determine the age of the biological sample.
 2. The method of claim 1, wherein the biological sample is a blood, saliva, epidermis, brain kidney or liver sample.
 3. The method of claim 1, wherein biological sample is a blood or saliva sample.
 4. The method of claim 1, wherein the set of methylation markers comprises at least 4 methylation markers.
 5. The method of claim 4, wherein the set of methylation markers comprises a marker in at least one of the NHLRC1, GREM1, SCGN or EDARADD genes.
 6. The method of claim 4, wherein the set of methylation markers comprises a marker in the SCGN and EDARADD genes.
 7. The method of claim 4, wherein the set of methylation markers comprise the CpG positions corresponding to Illumina™ probe IDs cg22736354 (SEQ ID NO: 158), cg09809672 (SEQ ID NO: 252), cg21296230 (SEQ ID NO: 354), and cg06493994 (SEQ ID NO: 46).
 8. The method of claim 1, wherein the set of methylation markers are selected from markers in the genes of Table
 3. 9. The method of claim 8, wherein the set of methylation markers comprise markers in each of the genes of Table
 3. 10. The method of claim 8, wherein the set of methylation markers are selected from the CpG positions of Table
 3. 11. The method of claim 10, wherein the set of methylation markers comprise each of the CpG positions of Table
 3. 12. The method of claim 1, wherein the age of an individual is determined based on the age of the biological sample.
 13. The method of claim 1, wherein measuring a methylation level of a set of methylation markers comprises treatment of genomic DNA from the sample with bisulfite to convert unmethylated cytosines of CpG dinucleotides to uracil.
 14. A kit comprising probes for detecting methylation markers comprising the CpG positions corresponding to Illumina™ probe IDs cg22736354, cg09809672, cg21296230, and cg06493994.
 15. The kit of claim 14, further comprising probes for detecting methylation markers comprising each of the CpG positions of Table
 3. 16. A method for determining an age of a biological sample comprising: selectively measuring the methylation levels of a set of methylation markers in genomic DNA of the biological sample, said set of methylation markers comprising markers in at least 6 of the genes listed in Table 3; and determining the age of the sample based on said methylation levels.
 17. The method of claim 16, wherein the biological sample is a solid tissue, blood, urine, fecal or saliva sample that comprises genomic DNA.
 18. The method of claim 16, wherein the biological sample is a sample comprising tissue culture cells or pluripotent stem cells.
 19. The method of claim 16, wherein determining the age of the biological sample comprises applying a statistical prediction algorithm to the measured methylation marker levels.
 20. The method of claim 19, wherein determining the age of the biological sample comprises (a) obtaining a linear combination of the methylation marker levels, and (b) applying a transformation to the linear combination to determine the age of the biological sample.
 21. The method of claim 16, wherein the set of methylation markers comprise markers in at least 15 of the genes listed in Table
 3. 22. The method of claim 21, wherein the set of methylation markers comprising markers in at least 30 of the genes listed in Table
 3. 23. The method of claim 21, wherein the set of methylation markers comprising markers in at least 6 of the genes listed in Table
 4. 24. The method of claim 16, wherein the set of methylation markers comprising markers in at least 6 of the genes listed in Table
 5. 25. The method of claim 16, wherein the set of methylation markers comprising markers in at least 6 of the genes listed in Table
 6. 26. The method of claim 16, wherein the set of methylation markers comprising markers in at least 3 of the genes listed in Table
 7. 27. The method of claim 23, wherein the set of methylation markers comprise markers in each of the genes of Table
 3. 28. The method of claim 27, wherein the set of methylation markers comprises methylation markers at the CpG positions of Table
 3. 29. The method of claim 16, wherein the set of methylation markers comprise markers in the NHLRC1, GREM1, SCGN or EDARADD genes.
 30. The method of claim 1, wherein the age of an individual is determined based on the age of the biological sample.
 31. The method of claim 1, the method of claim 16 further comprising reporting the age of the sample.
 32. The method of claim 31, wherein said reporting comprises preparing a written or electronic report.
 33. The method of claim 16, wherein measuring a methylation level of a set of methylation markers comprises treatment of genomic DNA from the sample with bisulfite to convert unmethylated cytosines of CpG dinucleotides to uracil.
 34. A tangible computer-readable medium comprising computer-readable code that, when executed by a computer, causes the computer to perform operations comprising: a) receiving information corresponding to methylation levels of a set of methylation markers in a biological sample, said markers comprising markers in at least 6 of the genes listed in Table 3; and b) determining the age of the biological sample by applying a statistical prediction algorithm to the measured methylation marker levels.
 35. The tangible computer-readable medium of claim 34, determining the age of the biological sample further comprises comparing the measured methylation marker levels to reference marker levels.
 36. The tangible computer-readable medium of claim 34, wherein the reference levels are stored in said tangible computer-readable medium.
 37. The tangible computer-readable medium of claim 34, wherein the receiving information comprises receiving from a tangible data storage device information corresponding to the methylation levels of the set of methylation markers in the biological sample.
 38. The tangible computer-readable medium of claim 34, further comprising computer-readable code that, when executed by a computer, causes the computer to perform one or more additional operations comprising: sending information corresponding to the methylation levels of the set of methylation markers in the biological sample to a tangible data storage device.
 39. The tangible computer-readable medium of claim 34, wherein the receiving information further comprises receiving information corresponding to methylation levels of a set of methylation markers in a biological sample, said markers comprising markers in at least 10, 15, 20, 25, 30, 35, 40, 45, or 50 of the genes listed in Table
 3. 40. The tangible computer-readable medium of claim 34, wherein determining the age of the biological sample comprises applying a linear regression model to predict sample age based on a weighted average of the methylation marker levels plus an offset.
 41. A method for determined the age of an individual comprising: collecting a tissue sample from an individual; extracting genomic DNA from the collected tissue sample; measuring a methylation level of a methylation marker on the genomic DNA; and determining an age of the individual with a statistical prediction algorithm, wherein the statistical prediction algorithm is applied to the measured methylation level to determine the age of the individual.
 42. The method of claim 41 wherein the methylation marker is a CpG methylation marker for a NHLRC1, GREM1, SCGN or EDARADD gene.
 43. The method of claim 42 wherein the methylation level of at least one of the NHLRC1, GREM1, SCGN or EDARADD gene is measured and the age of the individual is determined by applying the statistical prediction algorithm to the at least one measured methylation level.
 44. The method of claim 43 wherein the methylation levels of the EDARADD and SCGN gene are measured and the age of the individual is determined by applying the statistical prediction algorithm to the two measured methylation levels.
 45. The method of claim 41 wherein the methylation marker is a cytosine marker corresponding to Illumina™ probe IDs cg22736354, cg09809672, cg21296230, and cg06493994.
 46. A method for determined the age of the brain of an individual comprising: collecting a blood or saliva tissue sample from an individual; extracting genomic DNA from the collected blood or saliva tissue sample; measuring a methylation level of a methylation marker on the genomic DNA, wherein the methylation marker is a CpG methylation marker for a NHLRC1, GREM1, SCGN or EDARADD gene; and determining an age of the brain of the individual with a statistical prediction algorithm, wherein the statistical prediction algorithm is applied to the measured methylation level to determine the age of the individual.
 47. A method for observing the health of an individual comprising: collecting a tissue sample from an individual; extracting genomic DNA from the collected tissue sample; measuring a methylation level of a methylation marker on the genomic DNA; determining a biological age of the individual with a statistical prediction algorithm, wherein the statistical prediction algorithm is applied to the measured methylation level to determine the biological age of the individual; and comparing the biological age of the individual to a chronological age of the individual.
 48. The method of claim 47 wherein a biological age that is greater than the chronological age of the individual is an indication of age acceleration of the individual.
 49. The method of claim 47 wherein a first tissue sample and a second tissue sample are collected from the individual and the biological age of the first tissue sample is compared to the biological age of the second tissue sample.
 50. The method of claim 49 wherein a biological age of the first tissue sample that is greater than the biological age of the second tissue sample is an indication that the first tissue sample is diseased. 